Severe lumbar spinal stenosis combined with Guillain-Barrésyndrome:A case report |
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作者姓名: | Dan-Feng Xu Bing Wu Jin-Xin Wang Jian Yu Jian-Xin Xie |
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作者单位: | Department of Orthopedic Surgery |
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基金项目: | Supported by Keqiao Clinical Funding,No.2019KZ19 and No.2018KZ43. |
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摘 要: | BACKGROUND Guillain-Barrésyndrome(GBS)is a rare disorder that typically presents with ascending weakness,pain,paraesthesias,and numbness,which mimic the findings in lumbar spinal stenosis.Here,we report a case of severe lumbar spinal stenosis combined with GBS.CASE SUMMARY A 70-year-old man with a history of lumbar spinal stenosis presented to our emergency department with severe lower back pain and lower extremity numbness.Magnetic resonance imaging confirmed the diagnosis of severe lumbar spinal stenosis.However,his symptoms did not improve postoperatively and he developed dysphagia and upper extremity numbness.An electromyogram was performed.Based on his symptoms,physical examination,and electromyogram,he was diagnosed with GBS.After 5 d of intravenous immunoglobulin(0.4 g/kg/d for 5 d)therapy,he gained 4/5 of strength in his upper and lower extremities and denied paraesthesias.He had regained 5/5 of strength in his extremities when he was discharged and had no symptoms during follow-up.CONCLUSION GBS should be considered in the differential diagnosis of spinal disorder,even though magnetic resonance imaging shows severe lumbar spinal stenosis.This case highlights the importance of a careful diagnosis when a patient has a history of a disease and comes to the hospital with the same or similar symptoms.
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关 键 词: | Lumbar spinal stenosis Guillain-Barrésyndrome Lower back pain Paraesthesias DIAGNOSE Case report |
收稿时间: | July 25, 2020 |
Severe lumbar spinal stenosis combined with Guillain-Barré syndrome: A case report |
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Authors: | Dan-Feng Xu Bing Wu Jin-Xin Wang Jian Yu Jian-Xin Xie |
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Institution: | Dan-Feng Xu, Bing Wu, Jin-Xin Wang, Jian Yu, Jian-Xin Xie, Department of Orthopedic Surgery, Shaoxing Central Hospital, Shaoxing 312000, Zhejiang Province, China |
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Abstract: | BACKGROUNDGuillain-Barré syndrome (GBS) is a rare disorder that typically presents with ascending weakness, pain, paraesthesias, and numbness, which mimic the findings in lumbar spinal stenosis. Here, we report a case of severe lumbar spinal stenosis combined with GBS.CASE SUMMARYA 70-year-old man with a history of lumbar spinal stenosis presented to our emergency department with severe lower back pain and lower extremity numbness. Magnetic resonance imaging confirmed the diagnosis of severe lumbar spinal stenosis. However, his symptoms did not improve postoperatively and he developed dysphagia and upper extremity numbness. An electromyogram was performed. Based on his symptoms, physical examination, and electromyogram, he was diagnosed with GBS. After 5 d of intravenous immunoglobulin (0.4 g/kg/d for 5 d) therapy, he gained 4/5 of strength in his upper and lower extremities and denied paraesthesias. He had regained 5/5 of strength in his extremities when he was discharged and had no symptoms during follow-up.CONCLUSIONGBS should be considered in the differential diagnosis of spinal disorder, even though magnetic resonance imaging shows severe lumbar spinal stenosis. This case highlights the importance of a careful diagnosis when a patient has a history of a disease and comes to the hospital with the same or similar symptoms. |
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Keywords: | Lumbar spinal stenosis Guillain-Barré syndrome Lower back pain Paraesthesias Diagnose Case report |
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