Guillain-Barré syndrome and head trauma: case report

Freitas, Gabriel R. de; Freitas, Marcos R. G. de; Ferreira, M.

doi:10.1590/s0004-282x1997000200022

Cited by 21 publications

(9 citation statements)

References 6 publications

(2 reference statements)

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“…A 29-year-old man developed a flaccid tetraparesia and respiratory failure 13 days following post-traumatic SAH 5 . High protein content (200 mg/ ml) was found in the CSF, but this increased concentration could be easily explained by SAH.…”

Section: Discussionmentioning

confidence: 99%

Critical illness polyneuropathy or axonal Guillain�Barr� syndrome triggered by subarachnoid haemorrhage?

Hantson¹,

Wittebole²,

Bergh³

2013

OA Case Reports

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Section: Discussionmentioning

confidence: 99%

Critical illness polyneuropathy or axonal Guillain�Barr� syndrome triggered by subarachnoid haemorrhage?

Hantson¹,

Wittebole²,

Bergh³

2013

OA Case Reports

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“…[1][2][3][4] The characteristic clinical features of GBS include rapidly ascending weakness associated with areflexia. The weakness generally plateaus within four weeks of onset.…”

Section: Discussionmentioning

confidence: 99%

Guillain-Barré syndrome following thoracic spinal cord trauma

Scozzafava

Jickling

Jhamandas

et al. 2008

Can J Anesth/J Can Anesth

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“…There is a re p o rt of a lumbar nerve root injury inducing neuroimmune activation and neuroinflammation in the rats 1 1 . Another possible mechanism is the stress caused by trauma activating some latent or sub clinical process 4 .…”

Section: Discussionmentioning

confidence: 99%

Guillain-Barré syndrome after brachial plexus trauma: case report

Freitas

Nascimento

Harouche

et al. 2006

Arq. Neuro-Psiquiatr.

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-The Guilllain-Barré syndrome (GBS) is an acute predominantly demyelinating polyneuro p a t h y. In many cases GBS is preceding by infection, immunization, surgery or trauma. Although there are a few re p o rts of GBS after head trauma, there is no re p o rt of this syndrome after brachial plexus injury. We re p o rt on a 51 years-old man who presented GBS fifteen days after a brachial plexus trauma. The polineuro p athy resolved completely in a few weeks. We believe that GBS was triggered by the trauma that evoked an immune mediated disorder producing inflammation and demyelination of the peripheral nerves.KEY WORDS: Guillain-Barré syndrome, polyradiculoneuropathy, brachial plexus, trauma.Síndrome de Guillain-Barré após traumatismo de plexo braquial: relato de caso RESUMO -A síndrome de Guillain-Barré (SGB) é uma polineuropatia predominantemente desmielinizante, que ocorre na maioria das vezes após uma infecção, vacinação, cirurgia ou traumatismo. Embora tenham sido descritos alguns casos após traumatismo crânio encefálico, ainda não foi referido caso de SGB após traumatismo do plexo braquial. Relatamos o caso de um homem de 51 anos que 15 dias após ter apre s e ntado paralisia traumática do plexo braquial, desenvolveu SGB. Recuperou-se inteiramente em algumas semanas. Achamos que em nosso caso a SGB foi desencadeada pelo traumatismo, que provocou distúrbios imunológicos com conseqüente acometimento dos nervos periféricos. PALAVRAS-CHAVE: síndrome de Guillain-Barré, polirradiculoneuropatia, plexo braquial, traumatismo.The Guillain-Barré syndrome (GBS) is the most common cause of acute generalized weakness. Its incidence is 1-2/100000 people 1 . It is an acute inflamm a t o ry demyelinating polyradiculoneuropathy due to an immunological reaction directed at the peripheral nerves. The major clinical manifestation is an ascendant symmetrical weakness with reduced or absent tendon reflexes, minimal sensory loss and cranial nerve palsies. It may be preceded by infectious illness, immunization, surg e ry and trauma 2 . Although there were a few cases of GBS described after head i n j u ry 3 , 4 , there is no re p o rt of GBS triggered by peripheral nerve trauma.We re p o rted a case that presented GBS syndro m e after a trauma of the brachial plexus. CASEA 51-year-old man suffered a traumatic superior right brachial palsy after lifting a bar of 100 kg. Fifteen days after he felt weakness and had paresthesias in the four limbs that progressed in two days, and soon after he presented a bilateral facial palsy. There was a predominantly distal weakness in legs and arms and severe weakness of right biceps, deltoid, supinator longus, supraspinatus and infraspinatus with absent tendon reflexes and mild objective s e n s o ry loss in the four extremities. The cutaneous plantar reflexes were indiff e rent. There was a bilateral peripheral facial palsy. The other cranial nerves were normal. He had no radicular symptoms. His blood pre s s u rewas 130/80, pulse was 80/min, breath rate 22/min and he was apyretic.The b...

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Guillain-Barré syndrome and head trauma: case report

Cited by 21 publications

References 6 publications

Critical illness polyneuropathy or axonal Guillain�Barr� syndrome triggered by subarachnoid haemorrhage?

Critical illness polyneuropathy or axonal Guillain�Barr� syndrome triggered by subarachnoid haemorrhage?

Guillain-Barré syndrome following thoracic spinal cord trauma

Guillain-Barré syndrome after brachial plexus trauma: case report

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