Bilateral claw hand: an uncommon presentation of regional Guillain-Barré syndrome.
We present an uncommon case of a 38-year-old man presented with bilateral subacute weakness of intrinsic hand muscles, manifesting as bilateral claw-hand, without sensory deficits and absent tendon reflexes in upper arms. Nerve conduction studies showed findings consistent with demyelinating GBS. During the fourth day of hospitalization the patient presented symmetrical distal leg weakness and was treated with intravenous immunoglobulin.
Department of Neurology, Democritus University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece; Second Department of Neurology, University of Athens, School of Medicine, "Attikon" University Hospital, Athens, Greece. Electronic address: tsivgoulisgiorg@yahoo.gr.
Georgios
G
Tsivgoulis
Soultana
S
Tsakaldimi
Konstantinos
K
Vadikolias
Michalis
M
Mantatzis
Aristeidis H
AH
Katsanos
Ioannis
I
Heliopoulos
Charitomeni
C
Piperidou
D000328:Adult; D020275:Guillain-Barre Syndrome / Q000150:complications* / Q000188:drug therapy; D006227:Hand Deformities, Acquired / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008297:Male
D016756:Immunoglobulins, Intravenous
Atypical; Claw hand; Finger extensors; Guillain-Barré syndrome; Muscle; Weakness