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A Case of Poststreptococcal Acute Motor and Sensory Axonal Neuropathy

Year 2018, Volume: 10 Issue: 3, 95 - 97, 01.12.2018

Abstract

The characteristic of the typical Guillain-Barré syndrome GBS is an ascending symmetrical and demyelinating polyradiculoneuropathy. Acute motor and sensory axonal neuropathy AMSAN is a less common variant of GBS. Here, we describe an atypical AMSAN case developed after a beta-hemolytic streptococcal infection. Also, repeated electrophysiological test findings were discussed.

References

  • 1. Uncini A. Guillain-Barré syndrome: what have we learnt during one century? A personal historical perspective. Rev Neurol 2016;172:632-644.
  • 2. Yuki N, Hirata K. Fisher’s syndrome and group A streptococcal infection. J Neurol Sci. 1998;160(1):64- 6.
  • 3. Islam Z, Jacobs BC, van Belkum A, Mohammad QD, Islam MB, Herbrink P, Diorditsa S, Luby SP, Talukder KA, Endtz HP. Axonal variant of Guillain-Barre syndrome associated with Campylobacter infection in Bangladesh. Neurology 2010; 74(7):581-587
  • 4. Albers JW, Kelly JJ Jr. Acquired inflammatory demyelinating polyneuropathies: clinical and electrodiagnostic features. Muscle Nerve 1989;12:435- 451.
  • 5. Hiraga A, Mori M, Ogawara K et al .Recovery patterns and long term prognosis for axonal GuillainBarré syndrome. J Neurol Neurosurg Psychiatry 2005; 76:719-722
  • 6. Susuki K, Rasband MN, Tohyama K, et al. Anti-GM1 antibodies cause complement- mediated disruption of sodium channel clusters in peripheral motor nerve fibers. J Neurosci 2007;27:3956-3967.
  • 7. McGonigal R, Rowan EG, Greenshields KN, et al. Anti-GD1a antibodies activate complement and calpain to injure distal motor nodes of Ranvier in mice. Brain 2010;133:1944-1960.
  • 8. Uncini A, Kuwabara S. Nodopathies of the peripheral nerve: an emerging concept. J Neurol Neurosurg Psychiatry 2015;86:1186-1195.
  • 9. Uncini A, Susuki K, Yuki N. Nodoparanodopathy: beyond the demyelinating and axonal classification in anti-ganglioside antibody-mediated neuropathies. Clin Neurophysiol 2013;124:1928-1934.
  • 10. Shahrizaila N, Goh KJ, Abdullah S, Kuppusamy R, Yuki N. Two sets of nerve conduction studies may suffice in reaching a reliable electrodiagnosis in Guillain Barré syndrome. Clin Neurophysiol 2013;124:1456- 1459.
  • 11. Albers JW, Donofrio PD, McGonagle TK. Sequential electrodiagnostic abnormalities in acute inflammatory demyelinating polyradiculoneuropathy. Muscle Nerve 1985;8:528-539.
  • 12. Vrancken AF, Notermans NC, Jansen GH, Wokke JH, Said G. Progressive idiopathic axonal neuropathy, a comparative clinical and histopathological study with vasculitic neuropathy. J Neurol 2004;251(3):269-78.
  • 13. Traverso F, Martini F, Banchi L, Maritato F, Fazio B. Vasculitic neuropathy associated with betahaemolytic streptococcal infection: a case report. Ital J Neurol Sci 1997 ;18(2):105-107.
  • 14. Chi MS, Ng SH, Chan LY. Asymmetric Acute Motor Axonal Neuropathy with Unilateral Tongue Swelling Mimicking Stroke . Neurologist 2016; 21(6): 106-108.

Poststreptokokkal Akut Motor ve Sensoryel Kksonal Möropati Olgusu

Year 2018, Volume: 10 Issue: 3, 95 - 97, 01.12.2018

Abstract

Tipik Guillain-Barré sendromunun GBS karakteristiği assendan, simetrik ve demiyelinizan poliradikülonöropati olmasıdır. Akut motor ve sensoryel aksonal nöropati AMSAN GBS’nin daha az görülen bir çeşididir. Burada, beta-hemolitik streptokok enfeksiyonu sonrası gelişen atipik bir AMSAN olgusunu tanımladık. Ayrıca tekrarlı elektrofizyolojik bulgularını tartıştık.

References

  • 1. Uncini A. Guillain-Barré syndrome: what have we learnt during one century? A personal historical perspective. Rev Neurol 2016;172:632-644.
  • 2. Yuki N, Hirata K. Fisher’s syndrome and group A streptococcal infection. J Neurol Sci. 1998;160(1):64- 6.
  • 3. Islam Z, Jacobs BC, van Belkum A, Mohammad QD, Islam MB, Herbrink P, Diorditsa S, Luby SP, Talukder KA, Endtz HP. Axonal variant of Guillain-Barre syndrome associated with Campylobacter infection in Bangladesh. Neurology 2010; 74(7):581-587
  • 4. Albers JW, Kelly JJ Jr. Acquired inflammatory demyelinating polyneuropathies: clinical and electrodiagnostic features. Muscle Nerve 1989;12:435- 451.
  • 5. Hiraga A, Mori M, Ogawara K et al .Recovery patterns and long term prognosis for axonal GuillainBarré syndrome. J Neurol Neurosurg Psychiatry 2005; 76:719-722
  • 6. Susuki K, Rasband MN, Tohyama K, et al. Anti-GM1 antibodies cause complement- mediated disruption of sodium channel clusters in peripheral motor nerve fibers. J Neurosci 2007;27:3956-3967.
  • 7. McGonigal R, Rowan EG, Greenshields KN, et al. Anti-GD1a antibodies activate complement and calpain to injure distal motor nodes of Ranvier in mice. Brain 2010;133:1944-1960.
  • 8. Uncini A, Kuwabara S. Nodopathies of the peripheral nerve: an emerging concept. J Neurol Neurosurg Psychiatry 2015;86:1186-1195.
  • 9. Uncini A, Susuki K, Yuki N. Nodoparanodopathy: beyond the demyelinating and axonal classification in anti-ganglioside antibody-mediated neuropathies. Clin Neurophysiol 2013;124:1928-1934.
  • 10. Shahrizaila N, Goh KJ, Abdullah S, Kuppusamy R, Yuki N. Two sets of nerve conduction studies may suffice in reaching a reliable electrodiagnosis in Guillain Barré syndrome. Clin Neurophysiol 2013;124:1456- 1459.
  • 11. Albers JW, Donofrio PD, McGonagle TK. Sequential electrodiagnostic abnormalities in acute inflammatory demyelinating polyradiculoneuropathy. Muscle Nerve 1985;8:528-539.
  • 12. Vrancken AF, Notermans NC, Jansen GH, Wokke JH, Said G. Progressive idiopathic axonal neuropathy, a comparative clinical and histopathological study with vasculitic neuropathy. J Neurol 2004;251(3):269-78.
  • 13. Traverso F, Martini F, Banchi L, Maritato F, Fazio B. Vasculitic neuropathy associated with betahaemolytic streptococcal infection: a case report. Ital J Neurol Sci 1997 ;18(2):105-107.
  • 14. Chi MS, Ng SH, Chan LY. Asymmetric Acute Motor Axonal Neuropathy with Unilateral Tongue Swelling Mimicking Stroke . Neurologist 2016; 21(6): 106-108.
There are 14 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Miruna Florentina Ateş This is me

Şevki Şahin This is me

Nilgün Çınar This is me

Sibel Karsıdağ This is me

Publication Date December 1, 2018
Published in Issue Year 2018 Volume: 10 Issue: 3

Cite

Vancouver Ateş MF, Şahin Ş, Çınar N, Karsıdağ S. A Case of Poststreptococcal Acute Motor and Sensory Axonal Neuropathy. Maltepe tıp derg. 2018;10(3):95-7.