Guillain-Barre Syndrome Concomitant with Acute Myelitis

J Korean Neurol Assoc > Volume 23(1); 2005 > Article

Journal of the Korean Neurological Association 2005;23(1): 124-127.

척수염과 병발한 길랑-바레증후군 1예

최윤정, 조현지 이향운 최병옥 박기덕 최경규

이화여자대학교 의과대학 신경과학교실

Guillain-Barre Syndrome Concomitant with Acute Myelitis

Yoon Jeong Choi

Department of Neurology, Ewha Womans University College of Medicine, Seoul, Korea

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.KeyWords:Guillain-Barre syndrome, Hyperreflexia, Myelitis