Work

Recurrent Guillain-Barré Syndrome After Subsequent Total Knee Arthroplasties

Year: 2024

Type: article

Abstract: Guillain-Barré syndrome (GBS) is an acute immune-mediated inflammatory demyelinating polyneuropathy characterized by symmetrical limb weakness and areflexia. GBS is typically monophasic but may recur in 1%-7% of patients. Many etiologies exist for GBS; one rare associated etiology is surgery, most notably orthopaedic, abdominal, and cardiac surgery. Here, we present a 76-year-old male who developed postsurgical GBS after a right total knee arthroplasty (TKA), 11 years after developing GBS following a left TKA. The patient developed worsening ascending paralysis and, ultimately, respiratory failure requiring tracheostomy. This study reports a rare case of recurrent postsurgical GBS after TKA, possibly triggered by general anesthesia or tourniquet use. Early recognition of postsurgical GBS is imperative to avoid patient mortality.

Source: Arthroplasty Today

DOI: 10.1016/j.artd.2024.101518

Authors: Laith Z. Abwini, Dhara Rana, Joanna Crincoli, Firth G. Bowden, Fred McAlpin

Institution: Inspira Medical Center Vineland

Language: English

Topic: Peripheral Neuropathies and Disorders

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,500