• J Pediatr Orthop B · Jan 2010

    Case Reports

    Neuromuscular scoliosis as a sequelae of Guillain-Barré syndrome.

    • Max R Edwards, Pavlos Panteliadis, and Jonathan D Lucas.
    • Department of Spinal Surgery, Guy's and St. Thomas' NHS Trust, Great Maze Pond, London, UK. drmaxedwards@hotmail.com
    • J Pediatr Orthop B. 2010 Jan 1; 19 (1): 95-7.

    AbstractThe neuromuscular sequaelae of Guillain-Barré syndrome are well documented in the literature. Persistent distal muscular weakness and loss of peripheral limb reflexes are common in those affected. We report a case of a 14-year-old boy who developed the Miller-Fisher variant of Guillain-Barré syndrome at the age of 8 years. Six years after the acute episode, he had persistent lower limb areflexia and mild weakness. He had also developed a neuromuscular scoliosis. The scoliosis was successfully treated with posterior instrumentation and fusion surgery. Neuromuscular scoliosis is rare following Guillain-Barré syndrome, with no previous reports associated with the Miller-Fisher variant that we are aware of. When evaluating patients post Guillain-Barré syndrome, structural spinal examination is essential to identify rare deformity that may need surgical correction.

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