Asymmetrical weakness associated with central nervous system involvement in a patient with guillain-barrè syndrome.

Autor(es): Kiriyama Takao,Hirano Makito,Kusunoki Susumu,Morita Daiji,Hirakawa Minako,Tonomura Yasuyo,Kitauchi Takanori,Ueno Satoshi

Resumo: Guillain-Barrè syndrome (GBS) is usually associated with symmetrical weakness, and therefore asymmetrical weakness may confuse diagnosis. We report on a patient with GBS subsequent to Campylobacter jejuni enteritis who had asymmetrical weakness with CNS involvement. The patient tested positive for anti-ganglioside antibodies, including anti-GM1 IgM, anti-GD1b IgG, and anti-GT1a IgG. Patients with GBS can manifest asymmetrical signs and symptoms attributable to CNS involvement. Prompt, accurate diagnosis and treatment of post-C. jejuni GBS is especially important because its prognosis is relatively poor.

Palavras-Chave: CNS, GBS, Guillain-Barrè syndrome, asymmetrical weakness, central nervous system, symmetrical weakness

Imprenta: Clinical Medicine. Case reports, v. 2, p. 51-54, 2009

Descritores: Guillain-Barre Syndrome - Antibodies

Data de publicação: 2009