LOMBER MİKRODİSKEKTOMİ SONRASI GELİŞEN GUILLIAN-BARRÉ SENDROMU: OLGU SUNUMU

Giriş: Guillian-Barré sendromu (GBS) periferik sinir ve sinir köklerinin akut, enflamatuvar immun bir hastalığıdır.Genellikle ilerleyici flask paralizi ve derin tendon refleks azalması ile giden edinsel akut poliradikülo nöropatidir.Lomber cerrahi sonrası çok nadir görülen bir komplikasyondur. Olgu: Bu yazıda 4 günlük solda düşük ayak kliniğine sahip, lomber MRG’de L4-5 santral extrüde disk hernisi nedeniyle mikrodiskektomi uygulanan ve operasyon sonrası 2 günlük süreçte GBS tanısı alan olguyu sunduk. GBS tanısı fizik muayenenin yanı sıra EMG ve BOS analiz sonuçları ile desteklendi. Sonuç: Lomber cerrahi sonrası motor zayıflık olduğunda GBS ayırıcı tanıya dahil edilmelidir.Atipik semptomların gelişimi, zamanlaması, görüntüleme, EMG ve laboratuvar sonuçları bu nadir komplikasyonun diğer postoperatif spinal komplikasyonlardan ayrılmasına yardımcı olmaktadır. GBS’in hızlı tanı alması ve etkili bir şekilde tedavi edilmesi gerekmektedir.

GUILLIAN-BARRÉ SYNDROME AFTER LOMBER MICRODISCECTOMY SURGERY: A CASE REPORT

Introduction: Guillian-Barré syndrome (GBS) is an acute, inflammatory disease of the peripheral nerves and nerve roots. Acquired acute poliradiculoneuropathy is usually accompanied by progressive flask paralysis and deep tendon reflex reduction. It is a very rare complication after lomber surgery. Case: In this article, we presented a 4-day-left foot deficit clinic case report. We perform microdiscectomy for L4- 5 central extrude disc herniation, and a 2-day history of GBS diagnosis. GBS diagnosis was supported by results of EMG and BOS analysis as well as physical examination. Conclusion: GBS should be included in the differential diagnosis when the motor weakness after the surgery. The development of atypical symptoms, timing, imaging, EMG and laboratory results help to distinguish this rare complication from other postoperative spinal complications. GBS must be rapidly diagnosed and threated effectively.

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