Article

Syndrome de Guillain Barré après traumatisme crânien et chirurgie rachidienne
Abstract : Guillain-Barre syndrome (GBS) is an acute-onset inflammatory
polyradiculoneuropathy usually triggered by an infectious disease. In some cases,
GBS can occur without any preceding infectious episode, like after vaccination,
epidural anaesthesia or surgery. A 73 years old woman had head and spine trauma.
Body-TDM showed bilateral temporal and right frontal haematomas and fracture of
the first lumbar vertebrae. Sextant and kyphoplasty were performed. She presented
14 days after surgery tetraparesis, swallowing difficulties and bilateral facial
palsy. Electromyography was consistent with demyelinating neuropathy.
Cerebrospinal fluid examination found albumino-cytological dissociation. Viral
and bacterial serology and antiganglioside antibodies were negative. She was
treated with intravenous immunoglobulins. Four months after discharge she had
fully recovered except left peripheral facial palsy. GBS can rarely be triggered
by head trauma or spine surgery. Physician must keep in mind this diagnosis
whenever their patients present acute-onset neurological worsening in such
context.
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Langue : ANGLAIS