Recurrence of childhood Guillain-Barré syndrome after a long asymptomatic interval: a case report.
We present a patient who rapidly developed flaccid paralysis in all 4 limbs on 2 separate occasions 19 years apart. Each episode was accompanied by a respiratory failure that required intubation. Both times, clinical response to immunotherapy was favorable with a near complete recovery. Clinical course, laboratory and electrodiagnostic findings, and favorable response to therapy suggest 2 separate attacks of Guillain-Barré syndrome. The reported case adds to a small series of cases of recurrent Guillain-Barré syndrome after a long asymptomatic period. In such cases, the distinction from chronic inflammatory demyelinating polyradiculoneuropathy should be made.
Martic
Vesna
V
Department of Neurology, Military Medical Academy, Belgrade, Serbia. vesna.m@yubc.net
Lepic
Toplica
T
D000010:Abducens Nerve / Q000503:physiopathology; D000328:Adult; D003937:Diagnosis, Differential; D004558:Electric Stimulation / Q000379:methods; D004576:Electromyography / Q000379:methods; D020275:Guillain-Barre Syndrome / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000503:physiopathology; D009431:Neural Conduction / Q000502:physiology; D011129:Polyradiculoneuropathy / Q000150:complications* / Q000175:diagnosis*; D012008:Recurrence; D013997:Time Factors