title: The acute motor-sensory axonal neuropathy variant of Guillain-Barré syndrome after thoracic spine surgery.
abstract: Guillain-Barré syndrome (GBS) is the eponym used to describe acute inflammatory polyradiculoneuropathies, which manifest with weakness and diminished reflexes. Although the classic form of GBS is considered to be an ascending demyelinating polyneuropathy, several variants have been described in the literature, including the Miller-Fisher syndrome, acute panautonomic neuropathy, acute motor axonal neuropathy, and acute motor-sensory axonal neuropathy (AMSAN). Few cases of postoperative GBS have been documented, particularly for the AMSAN variant. The authors describe the case of a patient who developed AMSAN after thoracic spine surgery and highlight the importance of investigating new-onset weakness in the postoperative period.
authors.affiliation: Department of Neurology, University of Miami, Florida, USA. jcheng2@med.miami.edu
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Cheng
authors.forename: D Ethan
authors.initials: DE
authors.lastname: Kahn
authors.forename: Michael Y
authors.initials: MY
authors.lastname: Wang
mesh_terms: D000208:Acute Disease; D005260:Female; D020275:Guillain-Barre Syndrome / Q000145:classification* / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D008875:Middle Aged; D009046:Motor Neurons / Q000473:pathology; D009431:Neural Conduction; D011183:Postoperative Complications / Q000473:pathology*; D011984:Sensory Receptor Cells / Q000473:pathology; D013904:Thoracic Vertebrae / Q000601:surgery