Neuromuscular scoliosis as a sequelae of Guillain-Barré syndrome.
The neuromuscular sequaelae of Guillain-Barré syndrome are well documented in the literature. Persistent distal muscular weakness and loss of peripheral limb reflexes are common in those affected. We report a case of a 14-year-old boy who developed the Miller-Fisher variant of Guillain-Barré syndrome at the age of 8 years. Six years after the acute episode, he had persistent lower limb areflexia and mild weakness. He had also developed a neuromuscular scoliosis. The scoliosis was successfully treated with posterior instrumentation and fusion surgery. Neuromuscular scoliosis is rare following Guillain-Barré syndrome, with no previous reports associated with the Miller-Fisher variant that we are aware of. When evaluating patients post Guillain-Barré syndrome, structural spinal examination is essential to identify rare deformity that may need surgical correction.
Edwards
Max R
MR
Department of Spinal Surgery, Guy's and St. Thomas' NHS Trust, Great Maze Pond, London, UK. drmaxedwards@hotmail.com
Panteliadis
Pavlos
P
Lucas
Jonathan D
JD
D000293:Adolescent; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D019846:Miller Fisher Syndrome / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D009468:Neuromuscular Diseases / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D012600:Scoliosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D013123:Spinal Fusion / Q000379:methods; D013904:Thoracic Vertebrae / Q000601:surgery; D016896:Treatment Outcome