Publication

Recurrent Guillain-Barré Syndrome: Case Report

Bibliographic Details
Summary:	Introduction: Guillain–Barré syndrome is a frequent acute or subacute polyneuropathy, resulting from an aberrant immune response directed to peripheral nerves, characterized by demyelinating and/or axonal neuropathy. Recurrence is rare and its existence is not consensual.Case presentation: Male, 37 years old, history of severe Guillain–Barré syndrome in 2002, classified as axonal form. In 2012 he presented with acute and progressive motor weakness, involving the cranial nerves and respiratory distress. The electromyography results showed demyelinating motor and sensory polyneuropathy, with axonal component. He started intravenous immunoglobulin treatment with improvement of the neurological disabilities. He was transferred to our Hospital where he completed a broad rehabilitation program. He presented significant functional improvement.Discussion: based on the clinical presentation, electromyography and laboratory results, we considered it a recurrent case of Guillain–Barré syndrome.
Main Authors:	Pinto Silva, Maria João; Serviço de MFR, Hospital da Prelada, Porto, Portugal
Other Authors:	Rodrigues de Carvalho, João; Serviço de MFR, Hospital da Prelada, Porto, Portugal; Carvalho, José; Serviço de MFR, Hospital da Prelada, Porto, Portugal; Nunes, Renato; Centro de Reabilitação do Norte, Vila Nova de Gaia, Portugal; Borges, Gonçalo; Serviço de MFR, Hospital da Prelada, Porto, Portugal; Tamegão, Edgar; Serviço de MFR, Hospital da Prelada, Porto, Portugal; Almeida, Rúben; Centro de Reabilitação do Norte, Vila Nova de Gaia, Portugal
Subject:	Guillain–Barré Syndrome/rehabilitation Síndrome de Guillain-Barré/reabilitação
Year:	2016
Country:	Portugal
Document type:	article
Access type:	unknown
Associated institution:	Sociedade Portuguesa de Medicina Física e de Reabilitação
Language:	English
Origin:	Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação

Description
Summary:	Introduction: Guillain–Barré syndrome is a frequent acute or subacute polyneuropathy, resulting from an aberrant immune response directed to peripheral nerves, characterized by demyelinating and/or axonal neuropathy. Recurrence is rare and its existence is not consensual.Case presentation: Male, 37 years old, history of severe Guillain–Barré syndrome in 2002, classified as axonal form. In 2012 he presented with acute and progressive motor weakness, involving the cranial nerves and respiratory distress. The electromyography results showed demyelinating motor and sensory polyneuropathy, with axonal component. He started intravenous immunoglobulin treatment with improvement of the neurological disabilities. He was transferred to our Hospital where he completed a broad rehabilitation program. He presented significant functional improvement.Discussion: based on the clinical presentation, electromyography and laboratory results, we considered it a recurrent case of Guillain–Barré syndrome.