Guillain-Barré Syndrome Mimicking Lumbar Spinal Stenosis with Segmental Weakness in L5-S1 Myotomes: Two Case Reports
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- Hamada Yuichi
- Department of Neurology, Teikyo University School of Medicine, Japan
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- Hokkoku Keiichi
- Department of Neurology, Teikyo University School of Medicine, Japan
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- Hatanaka Yuki
- Department of Neurology, Teikyo University School of Medicine, Japan
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- Uchibori Ayumi
- Department of Neurology, Kyorin University School of Medicine, Japan
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- Kaida Kenichi
- Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan Department of Neurology, National Defense Medical College, Japan
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- Sonoo Masahiro
- Department of Neurology, Teikyo University School of Medicine, Japan
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- Kobayashi Shunsuke
- Department of Neurology, Teikyo University School of Medicine, Japan
抄録
<p>We herein report two cases of Guillain-Barré syndrome (GBS) mimicking lumbar spinal stenosis (LSS). Both cases were initially diagnosed as LSS based on prominent segmental weakness in the L5 and S1 myotomes and coexisting LSS on magnetic resonance imaging. However, neurological and electrophysiological examinations revealed abnormalities that extended to the upper extremities, although slight, prompting us to suspect GBS. Subsequently, serum antiganglioside antibodies and remarkable responsiveness to intravenous immunoglobulin therapy confirmed GBS. We suspect that the focal blood-nerve barrier disruption due to preexisting LSS might have contributed to the segmental weakness in this atypical GBS case. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine advpub (0), 2024
一般社団法人 日本内科学会