Atypical Guillain-Barre Syndrome Misdiagnosed as Lumbar Spinal Stenosis.
10.3340/jkns.2013.53.4.245
- Author:
Dae Young JUNG
1
;
Keun Tae CHO
;
Seung Chul LEE
Author Information
1. Department of Neurosurgery, Dongguk University College of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea. ktcho21@naver.com
- Publication Type:Case Report
- Keywords:
Guillain-Barre syndrome;
Spinal stenosis;
Polyradiculopathy
- MeSH:
Diagnosis, Differential;
Extremities;
Guillain-Barre Syndrome;
Humans;
Hypesthesia;
Ileus;
Paresthesia;
Polyradiculopathy;
Spinal Stenosis;
Urinary Retention
- From:Journal of Korean Neurosurgical Society
2013;53(4):245-248
- CountryRepublic of Korea
- Language:English
-
Abstract:
Guillain-Barre syndrome (GBS) is an acute inflammatory demyelinating polyneuropathy. In typical cases, the first symptoms of GBS are pain, numbness, paresthesia, weakness in the limbs. Autonomic involvement is common and causes urinary retention and ileus. Much of these symptoms overlap with those of lumbar spinal stenosis. Therefore, correct diagnosis of GBS in a patient with symptomatic lumbar spinal stenosis or in a patient with atypical manifestations of GBS can be difficult, especially early in the course of GBS. Here, we report on a case of atypical GBS in a 74-year-old previously healthy patient with lumbar spinal stenosis and discuss the differential diagnosis of the GBS and lumbar spinal stenosis.
