Dry beriberi mimicking the Guillain-Barre syndrome

Autor(es): Murphy Christopher,Bangash I Hussain,Varma Anoop


Resumo: A 44-year-old man is described with severe flaccid quadriparesis that evolved over 3 weeks. He had regularly binged on alcohol-up to 20 cans of beer per day with occasional consumption of spirits-for more than 15 years but had balanced this with regular food intake. However, for a week prior to the current episode he had not eaten anything of significance. Nerve conduction studies revealed a background peripheral, mainly sensory, neuropathy with a superimposed acute motor axonopathy. CSF was normal. He improved with high dose vitamin replacement and physiotherapy but remains dependent on a Zimmer frame for mobility and a splint for wrist drop.


Imprenta: Practical Neurology, v. 9, n. 4, p. 221-224, 2009


Identificador do objeto digital: 10.1136/jnnp.2009.182097


Descritores: Guillain-Barre Syndrome - Cytopathology ; Guillain-Barre Syndrome - Pathogenesis


Data de publicação: 2009