Tesoriero P, Feng JE, Anoushiravani AA, Kiprovski K, Marwin S, Wiznia D. Diagnosis of Guillain-Barré Syndrome After Total Hip Arthroplasty: A Case Report.
JBJS Case Connect 2021;
11:01709767-202106000-00092. [PMID:
34038913 DOI:
10.2106/jbjs.cc.20.00848]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
CASE REPORT
A 67-year-old man presented with signs of acute periprosthetic infection after total hip arthroplasty (THA). Surgical debridement, antibiotics, and a head and liner exchange were performed. After showing no improvement, a single-stage revision was conducted. Postoperatively, he developed back pain and lower extremity weakness. Electrodiagnostic studies showed a Guillain-Barré syndrome (GBS) variant. Intravenous immunoglobulin was administered to halt disease progression. After 1 year, he still demonstrated neuromuscular deficits and required a cane for ambulation.
CONCLUSION
This case highlights GBS after THA. A high degree of clinical suspicion is essential to prevent misinterpretation as a postsurgical complication.
LEVEL OF EVIDENCE
V, case report.
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