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A Variant Guillain-Barré Syndrome with Anti-Ganglioside Complex Antibody

  • Huh, So-Young (Department of Neurology, Kosin University College of Medicine) ;
  • Lee, So-Young (Department of Neurology, Kosin University College of Medicine) ;
  • Lee, Jin-Hyung (Department of Neurology, Kosin University College of Medicine) ;
  • Lee, Won Gu (Department of Neurology, Kosin University College of Medicine) ;
  • Kim, Jong Kuk (Department of Neurology, Dong-A University College of Medicine) ;
  • Yoon, Byeol-A (Department of Neurology, Dong-A University College of Medicine) ;
  • Kim, Nam Jun (Peripheral Neuropathy Research Center, Dong-A University College of Medicine)
  • Received : 2018.11.30
  • Accepted : 2018.12.17
  • Published : 2018.12.30

Abstract

Background: Recently, anti-ganglioside complex (GSC) antibodies were discovered among the various subtypes of Guillain-$Barr{\acute{e}}$ syndrome. GSC is the novel glycoepitopes formed by two individual ganglioside molecules. Case Report: We present a 36-year-old man with overlap Miller Fisher syndrome and acute bulbar palsy who had anti-GSC antibody that provided diagnostic robustness. Conclusion: Anti-GSC testing could be considered important in patients who show atypical manifestation with negative antibody reaction against each constituent ganglioside.

Keywords

Acknowledgement

Supported by : national Research Foundation of Korea (NRF)

References

  1. Kim JK, Bae JS, Kim DS, Kusunoki S, Kim JE, Kim JS, et al. Prevalence of anti-ganglioside antibodies and their clinical correlates with guillain-barre syndrome in Korea: a nationwide multicenter study. J Clin Neurol 2014;10:94-100. https://doi.org/10.3988/jcn.2014.10.2.94
  2. Wakerley BR, Uncini A, Yuki N, GBS Classification Group, GBS Classification Group. Guillain-Barre and Miller Fisher syndromes--new diagnostic classification. Nat Rev Neurol 2014;10:537-44. https://doi.org/10.1038/nrneurol.2014.138
  3. Kim JK, Kim BJ, Shin HY, Shin KJ, Nam TS, Oh J, et al. Acute bulbar palsy as a variant of Guillain-Barre syndrome. Neurology 2016;86:742-7. https://doi.org/10.1212/WNL.0000000000002256
  4. Albers JW, Kelly JJ Jr. Acquired inflammatory demyelinating polyneuropathies: clinical and electrodiagnostic features. Muscle Nerve 1989;12:435-51. https://doi.org/10.1002/mus.880120602
  5. Gordon PH, Wilbourn AJ. Early electrodiagnostic findings in Guillain-Barre syndrome. Arch Neuro l 2001;58:913-7. https://doi.org/10.1001/archneur.58.6.913
  6. Kaida K, Kusunoki S. Antibodies to gangliosides and ganglioside complexes in Guillain-Barre syndrome and Fisher syndrome: mini-review. J Neuroimmunol 2010;223:5-12. https://doi.org/10.1016/j.jneuroim.2010.02.001
  7. Kaida K, Kusunoki S. Ganglioside complexes as target antigens in Guillain-Barre syndrome and related disorders. Future Lipidology 2008:3:425-34. https://doi.org/10.2217/17460875.3.4.425
  8. Kusunoki S, Kaida K. Antibodies against ganglioside complexes in Guillain-Barre syndrome and related disorders. J Neurochem 2011;116:828-32. https://doi.org/10.1111/j.1471-4159.2010.07029.x
  9. Kaida K, Morita D, Kanzaki M, Kamakura K, Motoyoshi K, Hirakawa M, et al. Ganglioside complexes as new target antigens in Guillain-Barre syndrome. Ann Neurol 2004;56:567-71. https://doi.org/10.1002/ana.20222
  10. Wong AH, Umapathi T, Nishimoto Y, Wang YZ, Chan YC, Yuki N. Cytoalbuminologic dissociation in Asian patients with Guillain-Barre and Miller Fisher syndromes. J Peripher Nerv Syst 2015;20:47-51. https://doi.org/10.1111/jns.12104

Cited by

  1. Recent Concepts of Guillain-Barré Syndrome vol.37, pp.1, 2018, https://doi.org/10.17340/jkna.2019.1.2