Article Text

Download PDFPDF
Nerve root enhancement in Guillain-Barré syndrome
  1. Waqar Waheed1,
  2. Rup Tandan2,
  3. Michael Bazylewicz3
  1. 1 Department of Neurology, University of Vermont Medical Center, Burlington, Vermont, USA
  2. 2 University of Vermont Medical Center, Burlington, Vermont, USA
  3. 3 Department of Radiology, University of Vermont Medical Center, Burlington, Vermont, USA
  1. Correspondence to Dr Waqar Waheed, Neurology, University of Vermont Medical Center, Burlington, VT 05401-1429, USA; waqar.waheed{at}uvmhealth.org

Statistics from Altmetric.com

Case description

A 26-year-old woman presented with low back pain, perineal numbness, double incontinence and numbness involving her distal upper and lower limbs, with mild weakness of both legs. These symptoms followed a 3-week history of gastrointestinal illness. On neurological examination, there was weakness (Medical Research Council grade 4/5) of finger abduction and in proximal and distal leg muscles. Deep tendon reflexes were absent in both legs but normal in the arms. Pinprick sensation was diminished in the saddle area and the feet, with loss of vibration sense in the feet. MR scan of lumbar spine showed diffuse enhancement of all nerve roots in the cauda equina (figure 1). Cerebrospinal fluid (CSF) was acellular with elevated protein at 1.42 g/L (0.12–0.45). Nerve conduction studies, performed 4 weeks after symptoms onset, found …

View Full Text

Footnotes

  • Contributors WW responsible for conceptualisation, data collection and manuscript drafting. MB responsible for data collection, neuroradiology and manuscript editing. RT responsible for critical review and manuscript editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally reviewed by Geraint Fuller, Gloucester, UK.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Other content recommended for you