Cerebral vein thrombosis and Guillain-Barre syndrome: a challenging association

Lagi, Alfonso; Spini, Simona; Gallori, Sergio

doi:10.1016/j.ajem.2008.10.029

Cited by 2 publications

(4 citation statements)

References 15 publications

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“…The occurrence of CST has been reported as a complication of intravenous immunoglobulin (IVIG) administration in an immune thrombocytopenia purpura [9], a humoral immunodeficiency (Bruton's disease) [10], a polymyositis [11] and an isolated IgG1 deficiency [12]. In the GBS, only one case of CST was published [8]. The latter case was hospitalized for a neurological symptomatology of a headache, dizziness, swallowing disorders, vomiting and unilateral facial and hypoglossal paralysis.…”

Section: Discussionmentioning

confidence: 99%

“…Clinically, our patient had a glosso-pharyngeal nerve palsy, but the initial MRI was normal, although at the beginning (before the 5th day), false negatives could be seen at MRI, an isosignal in T1 and hyposignal in T2, which necessitates the use of sequences T2* and angio-MRI vein for the confirmation of the diagnosis [17]. There is no evidence that CST can cause GBS or vice versa; as a result, this exceptional association may suggest a possible common infectious process that triggers GBS and progresses through the meningeal spaces to the cerebral veins and sinuses to induce CST [8].…”

Section: Case Reports In Clinical Medicinementioning

confidence: 99%

“…In two-thirds of cases, GBS is a typical case of acute respiratory or gastrointestinal (bacterial or viral) infectious disease [7]. Local or systemic infections are admitted risk factors in the occurrence of CST and GBS; however, no etiological link between the two pathologies has been elucidated [8].…”

Section: Introductionmentioning

confidence: 99%

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Exceptional Association of a Cerebral Sinus Thrombosis and a Guillain-Barre Syndrome: A New Case Report and Review of the Literature

Ghoummid¹,

Bahssain²,

Kadiri³

et al. 2018

CRCM

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Background: The association of Guillain-Barre syndrome and cerebral sinus thrombosis is uncommon. Case Presentation: We report a 37-year-old patient hospitalized in medical ICU for respiratory distress following a Guillain-Barre syndrome. He had symptomatic treatment in addition to plasma exchange. In the presence of clonic movements, a brain venography magnetic resonance showed a thrombophlebitis of the left lateral sinus, and hence a low-molecular-weight heparin treatment was begun. Immunological, thrombophilia and serological tests were negative. After a favorable evolution, he was transferred to the neurology department. Conclusion: The combination of a Guillain-Barre syndrome and a cerebral sinus thrombosis would suggest a common process. A rigorous investigation, including the use of imaging, is necessary in front of any unusual clinical sign during a GBS.

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Section: Discussionmentioning

confidence: 99%

Section: Case Reports In Clinical Medicinementioning

confidence: 99%

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Exceptional Association of a Cerebral Sinus Thrombosis and a Guillain-Barre Syndrome: A New Case Report and Review of the Literature

Ghoummid¹,

Bahssain²,

Kadiri³

et al. 2018

CRCM

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“…Because of their overlapping presentation, CSVT and GBS present a unique clinical management challenge and are both extremely rare disorders that can manifest in a variety of ways. Both have been linked to moderate to high mortality (Lagi et al, 2009).…”

mentioning

confidence: 99%

A rare case of Guillain barre syndrome with overlapping cerebral sinus venous thrombosis masquerading as acute psychosis following COVID-19 vaccination

Yadav¹,

Sehgal²,

Ahluwalia³

et al. 2023

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Guillain barre syndrome (GBS) is a rare autoimmune condition that has a prevalence of 1-2 per 100,000 people each year. Cerebral sinus venous thrombosis (CSVT) occurs at a rate of three to four cases per one million individuals annually. Both have variable clinical presentation with significant morbidity. The therapeutic management of CSVT and GBS presents unique challenges due to peculiar relationship and overlap in presentation. Reports suggest that psychosis may result from autoimmune encephalitis after receiving the COVID-19 vaccination. Hereby the reported case is of a female who is 18 years of age presenting with acute psychotic and catatonic symptoms following covid 19 vaccination with weakening of limbs which suspected an underlying organic pathology. Magnetic resonance imaging was normal but magnetic resonance venogram showed transverse and sigmoid sinus thrombosis and later GBS with CSVT after Covid-19 vaccination was diagnosed. The case was chosen to report a rare condition with an atypical presentation.

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Cerebral vein thrombosis and Guillain-Barre syndrome: a challenging association

Cited by 2 publications

References 15 publications

Exceptional Association of a Cerebral Sinus Thrombosis and a Guillain-Barre Syndrome: A New Case Report and Review of the Literature

Exceptional Association of a Cerebral Sinus Thrombosis and a Guillain-Barre Syndrome: A New Case Report and Review of the Literature

A rare case of Guillain barre syndrome with overlapping cerebral sinus venous thrombosis masquerading as acute psychosis following COVID-19 vaccination

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