Hepatit A Enfeksiyonu Sonrası Gelişen Bir Guillian-Barre Sendromu Olgusu+

Abstract

Guillian-Barre Syndrome (GBS) is often preceded by an infectious disease. A case of GBS after hepatitis A (HA) is extremely rare, even though hepatitis A is common. In a review of case reports the clinical features of GBS following HA could be sumarized as follows: 1-Most of the patients are men 2- GBS develops within 14 days after onset of HA 3- Facial nerve and bulbus are effected frequently 4- Proprioception is likely impaired in addition to superficial sensation 5- Mechanic ventilation is often requirement 6- The protein content of the cerebrospinal fluid is usually high 7- The outcome of neuropathic symptoms is uniformly good, regardless of the degree of liver dysfunction as evaluated on the basis of alanine aminotransferase levels 8- Patient is frequently recover without sequelaw 9- ENMG demonstrate demyelinations. These findings indicate that GBS following HA essentially does not differ from typical GBS.

Guillian-Barre Syndrome (GBS) is often preceded by an infectious disease. A case of GBS after hepatitis A (HA) is extremely rare, even though hepatitis A is common. In a review of case reports the clinical features of GBS following HA could be sumarized as follows: 1-Most of the patients are men 2- GBS develops within 14 days after onset of HA 3- Facial nerve and bulbus are effected frequently 4- Proprioception is likely impaired in addition to superficial sensation 5- Mechanic ventilation is often requirement 6- The protein content of the cerebrospinal fluid is usually high 7- The outcome of neuropathic symptoms is uniformly good, regardless of the degree of liver dysfunction as evaluated on the basis of alanine aminotransferase levels 8- Patient is frequently recover without sequelaw 9- ENMG demonstrate demyelinations. These findings indicate that GBS following HA essentially does not differ from typical GBS.