[Neurological manifestations of non A-G viral hepatitis].
Guillain-Barre and other neurologic syndromes rarely occur as complications of viral hepatitis (A, B and C). Other neurologic syndromes have also been reported in serologically defined viral hepatitis, including mononeuritis, auditory neuritis, and seizures. Chronic hepatitis B and mononeuritis multiplex are found together in 31-54% of patients with periarteritis nodosa. The mechanisms of these associations are unknown, but may include direct cytotoxicity of the virus or immune-mediated damage. Vasculitis of the vasa nervorum plays an intermediate role, at least in some cases. We describe a 36-year-old man with acute non A-G hepatitis complicated by Guillain-Barre syndrome. The neurological manifestation resolved completely without specific therapy within 6 days, as the hepatitis resolved.
Liver Unit, Hadassah University Hospital, Jerusalem.
R
R
Safadi
Y
Y
River
Y S
YS
Haviv
Y
Y
Ilan
D000328:Adult; D020275:Guillain-Barre Syndrome / Q000150:complications* / Q000503:physiopathology; D006525:Hepatitis, Viral, Human / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D008297:Male; D012075:Remission, Spontaneous