Paraparetic Guillain‐Barre syndrome: An uncommon diagnosis of acute flaccid paralysis of the lower limbs

• Published in: Clinical case reports Vol. 9; no. 9; pp. e04767 - n/a
• Main Authors: Luitel, Prajjwol, Neupane, Nischal, Adhikari, Niranjan, Paudel, Sujan, Gajurel, Bikram Prasad, Karn, Ragesh, Rajbhandari, Reema, Gautam, Niraj, Shrestha, Ashish, Ojha, Rajeev
• Format: Journal Article
• Language: English
• Published: England John Wiley & Sons, Inc 01-09-2021; John Wiley and Sons Inc; Wiley
• Subjects: Ankle; Blood; Case Report; Case reports; flaccid paralysis; Guillain-Barre syndrome; HIV; Human immunodeficiency virus; Infections; Laboratories; Magnetic resonance imaging; Medical imaging; neuropathy; Paralysis; paraparetic GBS; Spinal cord; Viral infections; flaccid paralysis; neuropathy; paraparetic GBS
• ISSN: 2050-0904; 2050-0904
• DOI: 10.1002/ccr3.4767

Apart from the usual differentials of transverse myelitis and cord compression, paraparetic GBS should be considered when sudden, flaccid paralysis of the lower limbs occurs, as prompt diagnosis and management can minimize sequel and unnecessary procedures. We do report a case wherein we managed a similar situation without the use of an immunomodulatory therapy.
Apart from the usual differentials of transverse myelitis and cord compression, paraparetic GBS should be considered when sudden, flaccid paralysis of the lower limbs occurs, as prompt diagnosis and management can minimize sequel and unnecessary procedures. We do report a case wherein we managed a similar situation without the use of an immunomodulatory therapy.