Guillain-Barré syndrome after pelvic fracture fixation: a rare cause of postoperative paralysis

Spine
Tariq Hendawi, Joseph M Zavatsky

Abstract

Case report. To describe the important epidemiology, clinical presentation, and pathophysiology of Guillain-Barré syndrome (GBS) after orthopedic surgery in a trauma patient. Little in the orthopedic literature describes trauma as an etiology of GBS. We report a case of post-traumatic GBS in a 52-year-old male who developed ascending weakness after experiencing pelvic trauma that required 2 separate orthopedic procedures for pelvic stabilization after a fall from a height of 12 ft. After the index operative procedure, the patient complained of left S1 numbness. Computed tomographic scan demonstrated the pelvic screw approximating the left S1 neuroforamen and correlated with the patient's immediate postoperative symptoms. A secondary procedure to reposition the screw alleviated the patient's left S1 numbness. Two weeks postoperatively, the patient developed profound ascending lower extremity weakness. This case highlights the importance of considering all etiologies, no matter how uncommon, in the differential diagnosis of lower extremity weakness. Case report with literature search on GBS in orthopedic trauma patient. We propose that direct neural trauma from poorly positioned hardware resulting in clinical neurological symptom...Continue Reading

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Citations

May 11, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Nikhil SahaiArash Emami
Nov 27, 2020·Frontiers in Neurology·Chuxin HuangWei Lu

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