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Paralytic Ileus as the Initial Presentation of Guillain-Barre Syndrome: A Rare Case Report.
Int Med Case Rep J
November 2024
Department of Neurology, Mogadishu Somalia Turkish Training and Research Hospital, Mogadishu, Somalia.
Article Synopsis
- Guillain-Barre Syndrome (GBS) can present with unusual symptoms like paralytic ileus, which is gastrointestinal dysautonomia, before typical motor weakness occurs.
- A 55-year-old man initially presented with paralytic ileus and subsequently developed severe limb weakness and respiratory failure, despite being treated with supportive therapies.
- Recognizing early signs of GBS, including gastrointestinal symptoms, is crucial for prompt diagnosis and treatment to minimize severe outcomes and improve patient survival.
Herpes zoster peripheral nerve complications: Their pathophysiology in spinal ganglia and nerve roots.
Intractable Rare Dis Res
November 2023
Department of Neurology, Aomori Prefectural Central Hospital, Aomori, Japan.
Varicella zoster virus (VZV) causes chickenpox at the primary infection and then becomes latent in the spinal dorsal root ganglia; VZV can reactivate with aging, immunosuppression, stress, and other factors, occurring as herpes zoster (HZ) at 1-2 skin segments. HZ peripheral nerve complications caused by VZV reactivation include Hunt syndrome, segmental HZ paresis, post-herpetic neuralgia, and Guillain-Barré syndrome (GBS). We have encountered the rare HZ complications of upper-limb paresis, myeloradiculitis, and polyradiculoneuritis: an adult woman with upper-limb paresis consistent with the nerve root on segments above the thoracic HZ dermatome; another woman exhibiting ascending myeloradiculitis originating at the Th11-12 roots; an elderly woman with ascending VZV polyradiculoneuritis resembling GBS; an adult with VZV quadriplegia with disseminated HZ; and an elderly patient with VZV-associated polyradiculoneuritis.
View Article and Find Full Text PDFGuillain-Barré Syndrome Associated with SARS-CoV-2 in Two Pediatric Patients.
Sultan Qaboos Univ Med J
August 2023
Pediatric Neurology Unit, Department of Child Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Guillain-Barré syndrome (GBS) is a recognised complication of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We report two children with GBS associated with SARS-CoV-2 who presented to a tertiary centre in Muscat, Oman in 2021: The first patient was a three-month-old female infant who presented with bradypnea, encephalopathy, and generalised weakness that required mechanical ventilation. Polymerase chain reaction (PCR) testing of the nasopharyngeal swabs (NPS) was positive for SARS-CoV-2.
View Article and Find Full Text PDFConcurrence of Guillain-Barré syndrome and primary biliary cholangitis not related to SARS-CoV-2: Case report.
Medwave
April 2023
Instituto Nacional de Ciencias Neurológicas, Lima, Perú.
Introduction: Guillain-Barré syndrome is a polyradiculoneuropathy of autoimmune origin, considered the most frequent cause of acute flaccid paralysis. Various associations of Guillain-Barré syndrome with other non-neurological autoimmune diseases have been reported, some of them extremely rare, such as that which occurs with primary biliary cholangitis, a chronic disease of autoimmune etiology whose diagnosis is also supported by the clinical picture. , in the alteration of liver enzymes and the presence of anti-mitochondrial antibodies.
View Article and Find Full Text PDFOur Experience of Eight Patients with Dural Arteriovenous Fistula's at Foramen Magnum with Respect to Presentation, Angioarchitecture, and Endovascular Treatment Outcomes.
Asian J Neurosurg
March 2023
Department of Endovascular Neurosurgery, Breach Candy Hospital, Mumbai, Maharashtra, India.
Dural arteriovenous fistulas (DAVFs) around foramen magnum (FM) with peri medullary venous drainage, are uncommon and have wide spectrum of presentation. Literature about this lesion is sparse. We intent to analyze and report our experience with these cases with respect to presentation, evaluation, and endovascular treatment outcomes.
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