J Korean Neurol Assoc.  2005 Feb;23(1):124-127.

Guillain-Barre Syndrome Concomitant with Acute Myelitis

Affiliations
  • 1Department of Neurology, Ewha Womans University College of Medicine, Seoul, Korea. kgchoi@ewha.ac.kr

Abstract

Guillain-Barre syndrome (GBS) is clinically characterized by acute, progressive, symmetrical weakness and areflexia. However there have been several reports of patients with the acute motor axonal neuropathy type of GBS showing hyperreflexia. We experienced a patient with acutely developed ascending progressive weakness of low extremities up to face following enteritis and concomitantly developed hyperreflexia following initial treatment with IVIG. The spinal MRI scan revealed radiological features of acute diffuse myelitis. The treatment with steroid resulted in fairly good clinical and electrophysiological outcome.

Keyword

Guillain-Barre syndrome; Hyperreflexia; Myelitis

MeSH Terms

Axons
Enteritis
Extremities
Guillain-Barre Syndrome*
Humans
Immunoglobulins, Intravenous
Magnetic Resonance Imaging
Myelitis*
Reflex, Abnormal
Immunoglobulins, Intravenous
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