대한근전도전기진단의학회지 (Journal of Electrodiagnosis and Neuromuscular Diseases)

  • 제20권2호
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  • Pages.159-163
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  • 2018
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  • 2733-6581(pISSN)
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  • 2733-659X(eISSN)
대한근전도전기진단의학회 (Korean Association of EMG Electrodiagnostic Medicine)
권호 표지
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DOI QR Code

요추부 최소침습적 시술 후 길랑-바레 증후군: 증례보고

Guillain-Barre Syndrome after Minimally Invasive Lumbar Procedure: A Case Report

  • 이봉연 (광주보훈병원 재활의학과) ;
  • 윤서라 (광주보훈병원 재활의학과) ;
  • 류수라 (광주보훈병원 재활의학과) ;
  • 최유리 (광주보훈병원 재활의학과)
  • Lee, Bong-Yeon (Department of Physical Medicine and Rehabilitation, Gwangju Veterans Hospital) ;
  • Yoon, Seo-Ra (Department of Physical Medicine and Rehabilitation, Gwangju Veterans Hospital) ;
  • Ryu, Su-Ra (Department of Physical Medicine and Rehabilitation, Gwangju Veterans Hospital) ;
  • Choe, Yu-Ri (Department of Physical Medicine and Rehabilitation, Gwangju Veterans Hospital)
  • 투고 : 2018.08.20
  • 심사 : 2018.10.09
  • 발행 : 2018.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

Guillain-Barre syndrome (GBS) after trauma and general orthopedic surgery is rare. A 74-year-old woman showed ascending paralysis symmetrically, dysarthria, dysphagia and areflexia on 14 days after minimally invasive endoscopic thermoannuloplasty on L4-5 level. Brain and lumbar magnetic resonance imaging demonstrate no abnormal findings. The electrodiagnostic study showed prolonged distal motor, sensory latencies and F-wave latencies and reduced amplitude of compound muscle action potential in nerves of upper and lower extremities. In the cerebrospinal fluid (CSF) examination, total protein and IgG were increased. We diagnosed Guillain-Barre Syndrome based on clinical features, electrodiagnostic study and CSF examination and the patient improved symptoms after immunoglobulin injection and rehabilitation. Because the occurrence of GBS after minimally invasive procedure has not been reported, we report a case of GBS after minimally invasive procedure with literature review.

키워드

참고문헌

  1. Dimachkie MM, Barohn RJ: Guillain-Barre syndrome and variants. Neurol clin 2013: 31: 491-510 https://doi.org/10.1016/j.ncl.2013.01.005
  2. Arcila-Londono X, Lewis RA: Guillain-Barre syndrome. Semin Neurol 2012: 32: 179-186 https://doi.org/10.1055/s-0032-1329196
  3. Huang SL, Qi HG, Liu JJ, Huang YJ, Xiang L: A rare complication of spine surgery: Guillain-Barre syndrome. World Neurosurg 2015: 84: 697-701 https://doi.org/10.1016/j.wneu.2015.04.045
  4. Willson MC, Ross JS: Postoperative spine complications. Neuroimaging Clin N Am 2014: 24: 305-326 https://doi.org/10.1016/j.nic.2014.01.002
  5. Steiner I, Argov Z, Cahan C, Abramsky O: Guillain-Barre syndrome after epidural anesthesia: direct nerve root damage may trigger disease. Neurology 1985: 35: 1473-1475 https://doi.org/10.1212/WNL.35.10.1473
  6. Hogan JC, Briggs TP, Oldershaw PJ: Guillain-Barre syndrome following cardiopulmonary bypass. Int J Cardiol 1992: 35: 427-428 https://doi.org/10.1016/0167-5273(92)90248-2
  7. Gensicke H, Datta AN, Dill P, Schindler C, Fischer D: Increased incidence of Guillain-Barre syndrome after surgery. Eur J Neurol 2012: 19: 1239-1244 https://doi.org/10.1111/j.1468-1331.2012.03730.x
  8. Moon ASM, Rajaram Manoharan SR: Endoscopic Spine Surgery: Current State of Art and the Future Perspective. Asian Spine J 2018: 12: 1-2 https://doi.org/10.4184/asj.2018.12.1.1
  9. Gandaglia G, Ghani KR, Sood A, Meyers JR, Sammon JD, Schmid M et al.: Effect of minimally invasive surgery on the risk for surgical site infections: results from the National Surgical Quality Improvement Program (NSQIP) Database. JAMA Surg 2014: 149: 1039-1044 https://doi.org/10.1001/jamasurg.2014.292
  10. Ogawara K, Kuwabara S, Koga M, Mori M, Yuki N, Hattori T: Anti-GM1b IgG antibody is associated with acute motor axonal neuropathy and Campylobacter jejuni infection. J Neurol Sci 2003 15: 210: 41-45 https://doi.org/10.1016/S0022-510X(03)00013-3