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Acil Servise Gelen Komplike Bir Nöroloji Olgusu: Eş zamanlı Gullian-Barre Sendromu, Menenjit ve Spinal Astrositom

Year 2014, Volume: 5 Issue: 7, 215 - 217, 01.07.2014

Abstract

Giriş: Acil servise çeşitli şikayetlerle müracaat eden hastalar
eşzamanlı olarak birden fazla hastalık tanısı alması olasıdır. Bir ve
birden fazla sistemi ilgilendiren eşzamanlı hastalık tanısı alabilecek
hastalar, acil hekimine çeşitli zorluklar yaşatabilir.
Olgu Sunumu: Yirmi sekiz yaşında erkek hasta geçirdiği üst
solunum yolu enfeksiyonu sonrasında eşzamanlı Guillain-Barre
Sendromu, menenjit ve spinal astrositom klinik bulguları ile acil
servisimize müracaat etti.
Sonuç: Bu yazda GBS klinik bulguları ile başvuran, GBS, menenjit
ve spinal astrositom tanısı alan nadir bir olgunun tanı ve tedavisini
tartışmayı amaçladık.

References

  • Ropper AH. The Guillain-Barré syndrome. N Engl J Med 1992; 326: 1130. [CrossRef]
  • Edmond K, Clark A, Korczak VS, Sanderson C, Griffiths UK, Rudan I. Global and regional risk of disabling sequelae from bacterial meningitis: a systematic review and meta-analysis. Lancet Infect Dis 2010; 10: 317-28. [CrossRef]
  • Ciappetta P, Salvati M, Capoccia G, Artico M, Raco A, Fortuna A. Spinal glioblastomas: report of seven cases and review of the literature. Neurosurgery 1991; 28: 302-6. [CrossRef]
  • Jacobs BC, Rothbarth PH, van der Meché FG, Herbrink P, Schmitz PI, de Klerk MA, et al. The spectrum of antecedent infections in Guillain-Barré syndrome. A case-control study. Neurology 1998; 51: 1110-5. [CrossRef]
  • Fitch MT, van de Beek D. Emergency diagnosis and treatment of adult meningitis. Lancet Infect Dis 2007; 7: 191-200. [CrossRef]
  • The French Cooperative Group on Plasma Exchange in Guillain-Barre Syndrome. Efficiency of plasma exchange in Guillain-Barré Sydrome: role of replacement fluids. Ann Neurol 1987; 22: 753-61. [CrossRef]
  • Ropper AH, Wijdicks EFM, Shahani BT. Electrodiagnostic abnormalities in 113 patients with Guillain-Barre syndrome. Arch Neurol 1990; 47: 881-7. [CrossRef]
  • Yuki N. Fisher syndrome and Bickerstaff brainstem encephalitis (Fisher- Bickerstaff syndrome). J Neuroimmunol 2009; 215: 1-9. [CrossRef]
  • Van Doorn PA, Ruts L, Jacobs BC. Clinical features, pathogenesis, and treatment of Guillain-Barré syndrome. Lancet Neurol 2008; 7: 939-50. [CrossRef]
  • Tunkel AR, Scheld WM. Acute meningitis. In: Mandell GL, Douglas RG, Bennett JE, eds. Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. 6th ed. New York: Churchill Livingstone; 2005. p.1083-126.

A Complicated Neurological Case in the Emergency Department: Concomitant Guillan-Barre Syndrome, Meningitis and Spinal Astrocytoma

Year 2014, Volume: 5 Issue: 7, 215 - 217, 01.07.2014

Abstract

Introduction: Patients presenting at the emergency department with a range of complaints are likely to have a diagnosis of more than one disease. These patients with more than one system involvement, who will receive a diagnosis of concomitant diseases, cause various difficulties for emergency department physicians.Case Report: The case is presented here of a 28-year old male who presented at the emergency department with clinical findings of Guillan-Barre Syndrome, meningitis and spinal astrocytoma following an upper respiratory tract infection.Conclusion: This paper aimed to discuss the diagnoses, followup and treatment of this rare disease patient who has presented with clinical findings of GBS and who was then diagnosed of concomitant GBS, meningitis and spinal astrocytoma

References

  • Ropper AH. The Guillain-Barré syndrome. N Engl J Med 1992; 326: 1130. [CrossRef]
  • Edmond K, Clark A, Korczak VS, Sanderson C, Griffiths UK, Rudan I. Global and regional risk of disabling sequelae from bacterial meningitis: a systematic review and meta-analysis. Lancet Infect Dis 2010; 10: 317-28. [CrossRef]
  • Ciappetta P, Salvati M, Capoccia G, Artico M, Raco A, Fortuna A. Spinal glioblastomas: report of seven cases and review of the literature. Neurosurgery 1991; 28: 302-6. [CrossRef]
  • Jacobs BC, Rothbarth PH, van der Meché FG, Herbrink P, Schmitz PI, de Klerk MA, et al. The spectrum of antecedent infections in Guillain-Barré syndrome. A case-control study. Neurology 1998; 51: 1110-5. [CrossRef]
  • Fitch MT, van de Beek D. Emergency diagnosis and treatment of adult meningitis. Lancet Infect Dis 2007; 7: 191-200. [CrossRef]
  • The French Cooperative Group on Plasma Exchange in Guillain-Barre Syndrome. Efficiency of plasma exchange in Guillain-Barré Sydrome: role of replacement fluids. Ann Neurol 1987; 22: 753-61. [CrossRef]
  • Ropper AH, Wijdicks EFM, Shahani BT. Electrodiagnostic abnormalities in 113 patients with Guillain-Barre syndrome. Arch Neurol 1990; 47: 881-7. [CrossRef]
  • Yuki N. Fisher syndrome and Bickerstaff brainstem encephalitis (Fisher- Bickerstaff syndrome). J Neuroimmunol 2009; 215: 1-9. [CrossRef]
  • Van Doorn PA, Ruts L, Jacobs BC. Clinical features, pathogenesis, and treatment of Guillain-Barré syndrome. Lancet Neurol 2008; 7: 939-50. [CrossRef]
  • Tunkel AR, Scheld WM. Acute meningitis. In: Mandell GL, Douglas RG, Bennett JE, eds. Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. 6th ed. New York: Churchill Livingstone; 2005. p.1083-126.
There are 10 citations in total.

Details

Other ID JA78CR42CK
Journal Section Case Report
Authors

Selman Yeniocak This is me

Asım Kalkan This is me

Süha Türkmen This is me

Publication Date July 1, 2014
Submission Date July 1, 2014
Published in Issue Year 2014 Volume: 5 Issue: 7

Cite

APA Yeniocak, S., Kalkan, A., & Türkmen, S. (2014). A Complicated Neurological Case in the Emergency Department: Concomitant Guillan-Barre Syndrome, Meningitis and Spinal Astrocytoma. Journal of Emergency Medicine Case Reports, 5(7), 215-217.
AMA Yeniocak S, Kalkan A, Türkmen S. A Complicated Neurological Case in the Emergency Department: Concomitant Guillan-Barre Syndrome, Meningitis and Spinal Astrocytoma. Journal of Emergency Medicine Case Reports. July 2014;5(7):215-217.
Chicago Yeniocak, Selman, Asım Kalkan, and Süha Türkmen. “A Complicated Neurological Case in the Emergency Department: Concomitant Guillan-Barre Syndrome, Meningitis and Spinal Astrocytoma”. Journal of Emergency Medicine Case Reports 5, no. 7 (July 2014): 215-17.
EndNote Yeniocak S, Kalkan A, Türkmen S (July 1, 2014) A Complicated Neurological Case in the Emergency Department: Concomitant Guillan-Barre Syndrome, Meningitis and Spinal Astrocytoma. Journal of Emergency Medicine Case Reports 5 7 215–217.
IEEE S. Yeniocak, A. Kalkan, and S. Türkmen, “A Complicated Neurological Case in the Emergency Department: Concomitant Guillan-Barre Syndrome, Meningitis and Spinal Astrocytoma”, Journal of Emergency Medicine Case Reports, vol. 5, no. 7, pp. 215–217, 2014.
ISNAD Yeniocak, Selman et al. “A Complicated Neurological Case in the Emergency Department: Concomitant Guillan-Barre Syndrome, Meningitis and Spinal Astrocytoma”. Journal of Emergency Medicine Case Reports 5/7 (July 2014), 215-217.
JAMA Yeniocak S, Kalkan A, Türkmen S. A Complicated Neurological Case in the Emergency Department: Concomitant Guillan-Barre Syndrome, Meningitis and Spinal Astrocytoma. Journal of Emergency Medicine Case Reports. 2014;5:215–217.
MLA Yeniocak, Selman et al. “A Complicated Neurological Case in the Emergency Department: Concomitant Guillan-Barre Syndrome, Meningitis and Spinal Astrocytoma”. Journal of Emergency Medicine Case Reports, vol. 5, no. 7, 2014, pp. 215-7.
Vancouver Yeniocak S, Kalkan A, Türkmen S. A Complicated Neurological Case in the Emergency Department: Concomitant Guillan-Barre Syndrome, Meningitis and Spinal Astrocytoma. Journal of Emergency Medicine Case Reports. 2014;5(7):215-7.