Year: 2025
Type: article
Study design: Case Report
Abstract: Guillain-Barré syndrome (GBS) is an autoimmune-mediated peripheral neuropathy that is usually monophasic, but recurrence occurs in 2%-5% of cases, termed recurrent Guillain-Barré syndrome (RGBS). We report the case of a 49-year-old male patient who experienced three episodes of bilateral lower extremity numbness and weakness, each progressing to its nadir within 4 weeks. The first episode was additionally characterized by bilateral upper extremity weakness and dyspnea, while the first two episodes were accompanied by numbness in the fingertips of both hands. Electromyography (EMG) revealed severe axonal damage with concomitant demyelination. Anti-sulfatide IgG antibodies were detected during the third episode. After excluding other demyelinating disorders, a definitive diagnosis of GBS was established, and the symptoms were nearly completely resolved following treatment with intravenous immunoglobulin (IVIG).
Source: Frontiers in Immunology
Authors: Ying Wang, Chunmei Zhao, Rong Chen, Zeli Ma, Nan Tian, Xuan Li, Xianrui Xu, Qiang Liu, Yajun Li, Fenkui She, Fenglin Mu, Qing Zhang
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W4410040828