Multiple cranial nerve dysfunction can occur with primary intracranial processes (neoplasm, basilarvertebral insufficiency, congenital defects, aneurysms, dural vein thrombosis, multiple sclerosis), myopathy or neuromuscular junction disorder (myasthenia gravis, botulism, orbital 'myositis', ocular myopathy), and as a manifestation of a more systemic disorder (sarcoidosis, endocrinopathy, conne...

INTRODUCTION Guillain-Barre syndrome, or acute inflammatory demyelinating polyneuropathy, has been described in the presence of malignancies such as lymphoma. Guillain-Barre syndrome/acute inflammatory demyelinating polyneuropathy causes paresthesias and weakness, which can make the treatment of lymphoma with chemotherapy challenging. Given the rarity of this co-presentation it is not known if ...

OBJECTIVE To report a case of severe Guillain-Barré syndrome in a 32-year old female patient diagnosed with acute lymphoblastic leukaemia who was on chemotherapy. CLINICAL PRESENTATION AND INTERVENTION The patient received chemotherapy including vincristine and steroids according to the Medical Research Council United Kingdom Acute Lymphoblastic Leukaemia-12 (MRC UKALL-12) protocol. On the 21...

BACKGROUND Miller Fisher Syndrome is characterized by the clinical triad of ophthalmoplegia, ataxia, and areflexia, and is considered to be a variant of Guillain-Barre Syndrome. Miller Fisher Syndrome is observed in approximately 1-5% of all Guillain-Barre cases in Western countries. Patients with Miller Fisher Syndrome usually have good recovery without residual deficits. Venous thromboembolis...

OBJECTIVE To delineate the possible implication of the immunosuppressive cytokine transforming growth factor beta 1 (TGF-beta1) in the pathogenesis of Guillain-Barré syndrome. Guillain-Barré syndrome is a disorder that may implicate cytokines in its pathogenesis. TGF-beta1 is a potent anti-inflammatory cytokine occasionally shown to be regulated in the course of demyelinating disorders. METHO...

OBJECTIVE The aim of this report is to highlight the importance of close observation and follow-up in children who present with an acutely irritable hip. This is because hip pain is a symptom of not only benign but also severe conditions. Thus, at the time of the initial presentation, hip pain can be misdiagnosed. This report serves as an example for a wide range of doctors such as orthopaedic ...

Introduction: This article is part of the Focus Theme of Methods of Information in Medicine on “New Methodologies for Patients Rehabilitation”. Objectives: For Guillain-Barré patients, motor rehabilitation programs are helpful at the onset to prevent the complications of paralysis and in cases of persistent motor impairment. Traditional motor rehabilitation programs may be tedious and monotonou...

Abstract : BACKGROUND: Guillain-Barrsyndrome is an autoimmune peripheral neuropathy characterized by progressive symmetrical and ascending weakness and areflexia. Non-polio enterovirus (coxsackievirus type A and B, ECHO virus and enteroviruses) infections are seen in infants and children ranging from asymptomatic infection to life-threatening serious clinical conditions. Paralysis has been repo...

OBJECTIVES To examine the frequency and pathophysiology of micturitional disturbance in patients with Guillain-Barré syndrome. METHODS Micturitional symptoms were noted and neurological examinations made repeatedly during admission to hospital of patients with clinical and neurophysiologically definite Guillain-Barré syndrome. Urodynamic studies consisted of uroflowmetry, measurement of resid...

BACKGROUND AND PURPOSE Hypertrophic olivary degeneration (HOD) is usually caused by a lesion in the triangle of Guillain and Mollaret and presents clinically as palatal tremor. Although the imaging features have been well described, the temporal course of hypertrophy and T2 signal increase in the inferior olivary nucleus (ION) has not been fully characterized. Our purpose was to evaluate the ti...