Reminding: Loss of Strenght in Guillain Barre Syndrome May Be Asymmetric

Abstract

Guillain-Barré syndrome (GBS) is a rapidly progressive, symmetrical and ascending acute demyelinating inflammatory polyneuropathy which is characterized by progressive weakness and areflexia. Cranial neuropathy and autonomic symptoms may accompany the clinical picture. In this paper, a case with severe pain in the bilateral lower extremities and left lower limb proximal muscle weakness which is significantly more marked than the right side and urinary incontinence was presented. Electromyography (EMG) findings were evaluated in favour of acute motor sensory axonal neuropathy (AMSAN) and the diagnosis was supported by cerebrospinal fluid analysis and magnetic resonance imaging. Two weeks after the intravenous immunoglobulin (IVIG) treatment clinical improvement was observed and the patient was included in physical therapy and rehabilitation program. GBS cases who present with asymmetric weakness have been rarely reported in the literature.