Cervical Myelopathy with Concomitant Guillain-Barré Syndrome: A Case Report.


Journal

JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828

Informations de publication

Date de publication:
01 Jan 2024
Historique:
medline: 11 1 2024
pubmed: 11 1 2024
entrez: 11 1 2024
Statut: epublish

Résumé

We present a case of a 67-year-old female patient with concomitant cervical spondylotic myelopathy (CSM) and Guillain-Barré syndrome (GBS). Surgical intervention, including cervical decompression and arthrodesis, was performed to address cervical myelopathy symptoms. Despite initial improvement, the patient's motor function deteriorated, leading to the diagnosis of GBS. The patient's hospital course was protracted with a complicated recovery. This case emphasizes the clinical details of coexisting CSM and GBS, highlighting the importance of diagnosing and considering demyelinating diseases when determining the optimal timeline for surgical intervention. These findings inform decision-making for clinicians encountering similar patient presentations.

Identifiants

pubmed: 38207073
doi: 10.2106/JBJS.CC.23.00533
pii: 01709767-202403000-00009
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.

Déclaration de conflit d'intérêts

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C272).

Références

Salvi FJ, Jones JC, Weigert BJ. The assessment of cervical myelopathy. Spine J. 2006;6(6):S182-9.
Abai S, Kim SB, Kim JP, Lim YJ. Guillain-Barré syndrome combined with acute cervical myelopathy. J Korean Neurosurg Soc. 2010;48(3):298-300.
Al-Harbi T, Abdulmanaa S, Bunyan R. Coincidence of Guillain-Barré syndrome in a patient with cervical spondylotic myelopathy, case report. J Neurol Sci. 2015;357:e328.
Bentley SA, Ahmad S, Kobeissy FH, Toklu HZ. Concomitant Guillain-Barré Syndrome and COVID-19: a meta-analysis of cases. Medicina (Kaunas, Lithuania). 2022;58:1835.
Klineberg E. Cervical spondylotic myelopathy: a review of the evidence. Orthop Clin North Am. 2010;41:193-202.
Kouri A, Tanios M, Herron JS, Cooper M, Khan M. Mimickers of cervical spondylotic myelopathy. JBJS Rev. 2018;6(10):e9.
Nguyen TP, Taylor RS. Guillain-Barre syndrome [updated 2023 Feb 7]. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2023.
Saifudheen K, Jose J, Abdul Gafoor V, Musthafa M. Guillain-Barré syndrome and SIADH. Neurology. 2011;76:701-4.
Hegen H, Ladstätter F, Bsteh G, Auer M, Berek K, Di Pauli F, Walde J, Wanschitz J, Zinganell A, Deisenhammer F. Cerebrospinal fluid protein in Guillain-Barré syndrome: need for age-dependent interpretation. Eur J Neurol. 2021;28(3):965-73.
Yamada M, Furukawa Y, Hirohata M. Amyotrophic lateral sclerosis: frequent complications by cervical spondylosis. J Orthop Sci. 2003;8:878-81.
Bakhsheshian J, Mehta VA, Liu JC. Current diagnosis and management of cervical spondylotic myelopathy. Global Spine J. 2017;7(6):572-86.
Rudant J, Dupont A, Mikaeloff Y, Bolgert F, Coste J, Weill A. Surgery and risk of Guillain-Barré syndrome. Neurology. 2018;91:e1220-7.
Feuring M, Gutfleisch A, Ganschow A, Richter E, Eichler H, Dempfle CE, Tillmann HC, Schultz A, Wehling M. Impact of plasmapheresis on platelet hemostatic capacity in healthy voluntary blood donors detected by the platelet function analyzer PFA-100. Platelets. 2001;12(4):236-40.

Auteurs

Spencer Neaville (S)

Foundation for Orthopaedic Research and Education, Tampa, Florida.

Mohamed Khairy (M)

Foundation for Orthopaedic Research and Education, Tampa, Florida.

Alex Mierke (A)

Florida Orthopaedic Institute, Tampa, Florida.

John Small (J)

Florida Orthopaedic Institute, Tampa, Florida.

Classifications MeSH