自发性吉兰-巴雷综合征后脊柱后凸畸形缓解 1 例报告

Spontaneous Resolution of Kyphoscoliosis Secondary to Guillain-Barre Syndrome: A Case Report.

机构信息

Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, New York.

Department of Pediatric Orthopedic Surgery, Morgan Stanley Children's Hospital of New York, New York, New York.

出版信息

JBJS Case Connect. 2024 Aug 8;14(3). doi: e24.00113. eCollection 2024 Jul 1.

DOI:10.2106/JBJS.CC.24.00113

PMID:39133783

Abstract

CASE

Spinal deformity associated with Guillain-Barre syndrome (GBS) is not commonly reported. We present a 6-year-old girl who developed kyphoscoliosis after being diagnosed GBS. She had extensive motor deficits requiring 2 hospitalizations and treatment with IV immunoglobulin therapy. Five months after diagnosis, she presented to our clinic with a 15° coronal scoliosis and a 65° thoracic kyphosis. At 6-month follow-up, kyphosis progressed to 77° with no significant change in the coronal curve. At 1 year, sagittal alignment was within normal limits and the coronal curve had completely resolved.

CONCLUSION

Spinal deformity in GBS can resolve spontaneously.

摘要

病例

吉兰-巴雷综合征（GBS）相关的脊柱畸形并不常见。我们报告了一位 6 岁女孩，她在诊断出 GBS 后出现了脊柱后凸侧凸。她有广泛的运动功能障碍，需要住院 2 次，并接受静脉免疫球蛋白治疗。诊断后 5 个月，她因 15°冠状面侧凸和 65°胸段后凸来我院就诊。6 个月随访时，后凸进展至 77°，冠状面曲线无明显变化。1 年后，矢状面排列恢复正常，冠状面曲线完全消失。