Xu DF, Wu B, Wang JX, Yu J, Xie JX. Severe lumbar spinal stenosis combined with Guillain-Barré syndrome: A case report. World J Clin Cases 2021; 9(5): 1096-1102 [PMID: 33644172 DOI: 10.12998/wjcc.v9.i5.1096]
Corresponding Author of This Article
Jian-Xin Xie, MD, PhD, Professor, Department of Orthopedic Surgery, Shaoxing Central Hospital, No. 1 Huayu Road, Keqiao, Shaoxing 312000, Zhejiang Province, China. xjxclyjw@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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
Author contributions: Xie JX and Yu J designed the report; Wu B and Wang JX collected the patient’s clinical data; Xu DF wrote the paper.
Supported byKeqiao Clinical Funding, No. 2019KZ19 and No. 2018KZ43.
Informed consent statement: Consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to report.
CARE Checklist (2016) statement: The guidelines of the CARE Checklist (2016) have been adopted.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian-Xin Xie, MD, PhD, Professor, Department of Orthopedic Surgery, Shaoxing Central Hospital, No. 1 Huayu Road, Keqiao, Shaoxing 312000, Zhejiang Province, China. xjxclyjw@163.com
Received: July 25, 2020 Peer-review started: July 25, 2020 First decision: November 26, 2020 Revised: December 10, 2020 Accepted: December 23, 2020 Article in press: December 23, 2020 Published online: February 16, 2021 Processing time: 188 Days and 20.2 Hours
Core Tip
Core Tip: A 70-year-old man with a history of lumbar spinal stenosis presented to our emergency department because of severe lower back pain and lower extremity numbness. On the physical examination, he had 4/5 of strength in both legs and decreased sensation below the knees. Magnetic resonance imaging demonstrated lumbar spinal stenosis (L4/5). Based on these findings, he was diagnosed with lumbar spinal stenosis. After conservative treatment failed, he underwent transforaminal lumbar interbody fusion. However, his symptoms worsened postoperatively and dysphagia appeared. An electromyogram was performed. Finally, he was diagnosed with Guillain-Barré syndrome. After 5 d of intravenous immunoglobulin therapy, he gained 4/5 of strength in his upper and lower extremities and denied paraesthesias. This case demonstrates that Guillain-Barré syndrome should be considered in the differential diagnosis of spinal disorder and 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.
