Neuromuscular scoliosis as a sequelae of Guillain-Barré syndrome.
Autor(es): Edwards Max R.; Panteliadis Pavlos; Lucas Jonathan D.
Resumo: The neuromuscular sequaelae of Guillain-Barré syndrome are well documented in the literature. Persistent distal muscular weakness and loss of peripheral limb reflexes are common in those affected. We report a case of a 14-year-old boy who developed the Miller-Fisher variant of Guillain-Barré syndrome at the age of 8 years. Six years after the acute episode, he had persistent lower limb areflexia and mild weakness. He had also developed a neuromuscular scoliosis. The scoliosis was successfully treated with posterior instrumentation and fusion surgery. Neuromuscular scoliosis is rare following Guillain-Barré syndrome, with no previous reports associated with the Miller-Fisher variant that we are aware of. When evaluating patients post Guillain-Barré syndrome, structural spinal examination is essential to identify rare deformity that may need surgical correction.
Imprenta: Journal of Pediatric Orthopedics, v. 19, n. 1, p. 95-97, 2010
Identificador do objeto digital: 10.1097/BPB.0b013e32832efca2
Descritores: Guillain-Barre Syndrome - Cytopathology ; Guillain-Barre Syndrome - Pathogenesis
Data de publicação: 2010