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KMID : 0860920180200020159
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2018 Volume.20 No. 2 p.159 ~ p.163
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Guillain-Barre Syndrome after Minimally Invasive Lumbar Procedure: A Case Report
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Lee Bong-Yeon
Yoon Soe-Ra
Ryu Su-Ra
Choe Yu-Ri
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Abstract
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Guillain-Barre syndrome (GBS) after trauma and general orthopedic surgery is rare. A 74-year-old woman showed ascending paralysis symmetrically, dysarthria, dysphagia and areflexia on 14 days after minimally invasive endoscopic thermoannuloplasty on L4-5 level. Brain and lumbar magnetic resonance imaging demonstrate no abnormal findings. The electrodiagnostic study showed prolonged distal motor, sensory latencies and F-wave latencies and reduced amplitude of compound muscle action potential in nerves of upper and lower extremities. In the cerebrospinal fluid (CSF) examination, total protein and IgG were increased. We diagnosed Guillain-Barre Syndrome based on clinical features, electrodiagnostic study and CSF examination and the patient improved symptoms after immunoglobulin injection and rehabilitation. Because the occurrence of GBS after minimally invasive procedure has not been reported, we report a case of GBS after minimally invasive procedure with literature review.
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KEYWORD
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electrodiagnosis, Guillain-Barre syndrome, minimally invasive surgical procedures
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