Guillain-Barre Syndrome After Robotically Assisted Laparoscopic Prostatectomy: First Case Report

Shakuri-Rad, Jaschar; Gavin, Patrick W.; Todd, Shawn P.; Tran, Tony; Christensen, Cody; Shockley, Kenneth F.; Maatman, Thomas J.

doi:10.1016/j.eucr.2015.01.004

Cited by 8 publications

(2 citation statements)

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“…In addition, non-infectious factors such as vaccinations, trauma, and surgery have been reported as possible triggers of GBS. Several case reports have also described the occurrence of GBS following cardiac surgery, gastrointestinal surgery, neurological surgery, orthopedic surgery, and laparoscopic prostatectomy [ 3 – 15 ]. Gensicke et al reported that the incidence of GBS after surgery was significantly higher than for GBS triggered by infection or vaccine [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Guillain-Barré syndrome triggered by surgery in a Chinese population: a multicenter retrospective study

et al. 2021

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Background Surgery is a potential trigger of Guillain-Barré syndrome (GBS), a disorder which leads to an autoimmune-mediated attack of peripheral nerves. The present study was designed to explore clinical features of post-surgical GBS compared with those of general GBS in order to provide better clinical advice to patients undergoing surgery. Methods The medical records of GBS patients who were seen at 31 tertiary hospitals in southern China between January 1, 2013 and September 30, 2016 were retrospectively analyzed. Post-surgical GBS was defined as symptoms of GBS within 6 weeks after surgery. Clinical features of post-surgical GBS are described and are compared with general GBS. Results Among the 1001 GBS patient cases examined in this study, 45 (4.5%) patient cases exhibited symptoms of GBS within 6 weeks of undergoing surgery. Within this group, 36 (80.0%) patients developed initial symptoms of limb weakness. The average interval between surgery and symptom onset was 13.31 days. The most common type of surgery which triggered GBS was orthopedic surgery, followed by neurological surgery. Compared to general GBS, post-surgical GBS was characterized by a higher proportion of severe patients (Hughes functional grading scale (HFGS) score ≥ 3) upon admission and at nadir, higher HFGS scores at discharge, and longer hospital stays. Post-surgical GBS patients also had a significantly higher frequency of the acute motor axonal neuropathy subtype (37.9 vs. 14.2, respectively; P = 0.001). Conclusion Surgery is probably a potential trigger factor for GBS, especially orthopedic surgery. Infections secondary to surgery may play a role. The possibility of preceding (post-operative) infections was not excluded in this study. Clinical presentation of post-surgical GBS is characterized by a more severe course and poorer prognosis, and should be closely monitored. Trial registration chicTR-RRc-17,014,152.

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Section: Introductionmentioning

confidence: 99%

Guillain-Barré syndrome triggered by surgery in a Chinese population: a multicenter retrospective study

et al. 2021

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“…Besides, non-infectious factors such as vaccinations, trauma and surgery were reported as possible triggers. Several case reports described the occurrence of GBS following cardiac surgery, gastrointestinal surgery, neurological surgery, orthopedic surgery, laparoscopic prostatectomy, and so on [3][4][5][6][7][8][9][10][11][12][13][14][15] . H. Gensicke et al found that the Hughes Functional Grading Scale (HFGS) score [24] , a widely accepted scale of disability for GBS (Grade 0, healthy; grade 1, minor signs or symptoms of neuropathy but capable of manual work; grade 2, able to walk without support of a stick but incapable of manual work; grade 3, able to walk with a stick, appliance, or support; grade 4, con ned to bed or chair bound; grade 5, requiring assisted ventilation; grade 6, dead) was applied.…”

Section: Introductionmentioning

confidence: 99%

Guillain-Barré Syndrome Triggered by Surgery in Chinese population: Towards a Multicenter Retrospective Study

Gong

Liu

Yin

et al. 2020

Preprint

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BackgroundSurgery is described as a potential trigger of Guillain-Barré syndrome (GBS). The present study was designed to explore the clinical feature of post-surgical GBS compared with those of general GBS, to give better clinical advice to patients undergoing surgery. MethodsWe retrospectively analyzed medical records of GBS patients in 31 representative tertiary hospitals, located in 14 provinces in southern China, between 1 January 2013 and 30 September 2016. Post-surgical GBS was defined as symptoms of GBS within 6 weeks after surgery. We described clinical feature of post-surgical GBS, and assessed the difference between post-surgical GBS and the general GBS.ResultsOf the 1001 GBS patients enrolled, 45 patients (4.5%) had undergone surgery within 6 weeks before GBS symptom onset. Among them, 36 patients (80.0%) developed initial symptoms of limb weakness. The average interval between surgery and symptom onset was 13.31 days. The most common type of surgery triggering GBS was orthopedic surgery, followed by neurological surgery. Compared to the general GBS, post-surgical GBS was characterized by higher proportion of severe patients (HFGS ≥3) on admission and at nadir, higher HFGS score at discharge, and longer hospital stays. Besides, the post-surgical GBS patients had a significantly higher frequency of the subtype of AMAN (37.9 vs 14.2, P=0.001).ConclusionSurgery was a potential trigger factor for GBS, especially in orthopedic surgery. The clinical presentation of postsurgical GBS was characterized by a more severe course and poorer prognosis. Clinical trial registrationchicTR-RRc-17014152.

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Maxillary sinus floor augmentation and simultaneous dental implant placement in a patient with Guillain‐Barre syndrome: A case report

Faraji

Bayani

Jafarpour³

et al. 2019

Clinical Case Reports

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Guillain-Barre Syndrome After Robotically Assisted Laparoscopic Prostatectomy: First Case Report

Cited by 8 publications

References 5 publications

Guillain-Barré syndrome triggered by surgery in a Chinese population: a multicenter retrospective study

Guillain-Barré syndrome triggered by surgery in a Chinese population: a multicenter retrospective study

Guillain-Barré Syndrome Triggered by Surgery in Chinese population: Towards a Multicenter Retrospective Study

Maxillary sinus floor augmentation and simultaneous dental implant placement in a patient with Guillain‐Barre syndrome: A case report

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