Ulcerative colitis and acquired demyelinating neuropathy (Guillain-Barré syndrome)

Roca, Bernardino

doi:10.1016/s0300-2977(98)00147-8

Cited by 15 publications

(9 citation statements)

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“…Tetanus toxoid vaccination as a trigger for GBS with a shorter symptom onset in subsequent episodes has been reported previously 13. The drug Salazopyrine has not previously been described as a trigger for GBS, but ulcerative colitis has 14. We cannot exclude that these events occurred coincidental or that there had not been a subclinical preceding infection in this patient.…”

Section: Discussionmentioning

confidence: 53%

Recurrent Guillain-Barre syndrome

Kuitwaard

Koningsveld

Ruts

et al. 2008

Journal of Neurology, Neurosurgery & Psychiatry

127

121

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Background: Guillain-Barré syndrome (GBS) is generally considered to be monophasic, but recurrences do occur in a presently undefined subgroup of patients. Objectives: To determine which subgroup of patients develops a recurrence and to establish whether preceding infections and neurological symptoms are similar in subsequent episodes. Methods: A recurrence was defined as two or more episodes that fulfilled the NINCDS criteria for GBS, with a minimum time between episodes of 2 months (when fully recovered in between) or 4 months (when only partially recovered). Patients with a treatment-related fluctuation or chronic inflammatory demyelinating polyneuropathy with acute onset were excluded. The clinical characteristics of recurrent GBS patients were compared with those of 476 non-recurrent patients. Results: 32 recurrent GBS patients, who had a total of 81 episodes, were identified. The clinical symptoms in a first episode were similar to the following episodes in individual patients, being GBS or its variant Miller Fisher syndrome (MFS) but never both. While neurological symptoms in subsequent episodes were often similar, the severity of the symptoms and the nature of the preceding infections varied. Recurrent patients (mean age 34.2 years) were younger than non-recurrent patients (mean age 46.9; p = 0.001) and more often had MFS (p = 0.049) or milder symptoms (p = 0.011). Conclusions: Genetic or immunological host factors may play an important role in recurrent GBS, since these patients can develop similar symptoms after different preceding infections. Recurrences occur more frequently in patients under 30, with milder symptoms and in MFS.

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Section: Discussionmentioning

confidence: 53%

Recurrent Guillain-Barre syndrome

Kuitwaard

Koningsveld

Ruts

et al. 2008

Journal of Neurology, Neurosurgery & Psychiatry

127

121

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“…A case of GBS was described in a patient with the diagnosis of UC 30 years earlier [5]. A congenital GBS associated with maternal UC was reported by Bamford et al [11].…”

Section: Discussionmentioning

confidence: 99%

“…It affects individuals throughout their life. Extraintestinal manifestations of UC are well documented, but their association with neurological involvement is rare [1][2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Chronic inflammatory polyneuropathy associated with ulcerative colitis: a reported case in literature

Rocha

Vital

Lagueny³

et al. 2015

Int Arch Med

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“…Although rare, neurological complications can be very serious and irreversible without an initial appropriate treatment. Little is known about neurological EM prevalence, but 20-30% has been reported, some cases preceding IBD and some being diagnosed after their remission [13-15]. Several pathogenic mechanisms have been suggested to explain the affectation of peripheral and central nervous system by IBD: malabsorption, deficiency of vitamins, formations of toxic agents, direct effects of the treatment (infections, complications of the immunosuppression), thromboembolism disease and immunological problems [13,14].…”

Section: Discussionmentioning

confidence: 99%

Guillain-Barré syndrome, tuberculosis and inflammatory bowel disease: a multiple association

Torre¹,

Morís²,

Martínez³

et al. 2010

Int Arch Med

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Guillain-Barré syndrome (GBS) has been associated with both infective or non-infective aetiologies. GBS is usually preceded by acute respiratory or gastrointestinal infection but its association with tuberculosis has been exceptionally reported. Inflammatory bowel disease (IBD) is associated with clinical manifestations involving the neurological system, peripheral neuropathy is known to be related to IBD and, either demyelinating or axonal involvement of peripheral nerves have been described. We report an unusual case of GBS associated with lymph node tuberculosis and ulcerative colitis.

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Ulcerative colitis and acquired demyelinating neuropathy (Guillain-Barré syndrome)

Cited by 15 publications

References 0 publications

Recurrent Guillain-Barre syndrome

Recurrent Guillain-Barre syndrome

Chronic inflammatory polyneuropathy associated with ulcerative colitis: a reported case in literature

Guillain-Barré syndrome, tuberculosis and inflammatory bowel disease: a multiple association

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