Journal of Neurology Research, ISSN 1923-2845 print, 1923-2853 online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Neurol Res and Elmer Press Inc |
Journal website http://www.neurores.org |
Case Report
Volume 7, Number 4-5, October 2017, pages 97-101
Guillain-Barre Syndrome Following Seasonal Influenza Vaccination
Tables
Upper limb | Lower limb | |||
---|---|---|---|---|
Right | Left | Right | Left | |
Appearance | Normal | |||
Tone | Normal | |||
Power (Medical Research Council grading system) | Shoulder abduction | Hip flexion | ||
1/5 | 1/5 | 2/5 | 2/5 | |
Elbow flexion | Hip extension | |||
3/5 | 3/5 | 4-/5 | 4/5 | |
Elbow extension | Knee flexion | |||
2/5 | 2/5 | 1/5 | 1/5 | |
Wrist extension | Knee extension | |||
4-/5 | 4-/5 | 2/5 | 2/5 | |
Finger adduction | Ankle dorsiflexion | |||
3/5 | 3/5 | 4+/5 | 4+/5 | |
Reflexes | Absent | |||
Babinski sign | Negative | |||
Sensation | Variable and patchy loss to pinprick | |||
Proprioception | Normal | |||
Coordination | Unable to assess |
Sensory nerve conduction studies | Peak latency (m/s) (reference value) | Amplitude (µV) (reference value) | Conduction velocity (m/s) (reference value) | |
---|---|---|---|---|
Left median | ||||
Index finger - wrist | Absent | - | - | |
Left ulnar | ||||
Little finger - wrist | Absent | - | - | |
Left superficial peroneal | ||||
Lower leg - ankle | Absent | - | - | |
Right superficial peroneal | ||||
Lower leg - ankle | Absent | - | - | |
Left radial | ||||
Forearm - first web space | 1.26 (≤ 2.7) | 5.7 (≥ 20) | Not calculated | |
Left sural | ||||
Middle lower leg - ankle | Absent | - | - | |
Motor nerve conduction studies | Onset latency (m/s) (reference value) | Amplitude (mV) (reference value) | Conduction velocity (m/s) (reference value) | F wave (m/s) (reference value) |
Left median | ||||
Wrist - abductor pollicis brevis | 3.70 (≤ 4.4) | 1.48 (≥ 4) | 47.5 (≥ 49) | 31.8 (≤ 28.5) |
Elbow - wrist | 9.49 (≤ 4.4) | 1.08 (≥ 4) | ||
Left peroneal | ||||
Ankle - extensor digitorum brevis | 4.59 (≤ 6.1) | 3.4 (≥ 2) | 32.1 (≥41) | Not measured |
Knee - ankle | 16.1 (≤ 6.1) | 2.1 (≥ 2) | ||
Right peroneal | ||||
Ankle - extensor digitorum brevis | 3.98 (≤ 6.1) | 3.3 (≥ 2) | 27.3 (≥41) | Not measured |
Knee - ankle | 16.6 (≤ 6.1) | 1.61 (≥ 2) | ||
Left tibial | ||||
Ankle - abductor hallucis | 4.01 (≤ 6.1) | 2.4 (dispersed) (≥ 3) | Not calculated | Absent |
Right tibial | ||||
Ankle - abductor hallucis | 4.09 (≤ 6.1) | 10.4 (≥ 3) | Not calculated | Obscured by muscle artefact |
Left ulnar | ||||
Wrist - abductor digiti minimi | 2.45 (≤ 3.5) | 5.9 (≥ 6) | 37.9 (≥ 49) | Absent |
Elbow - wrist | 9.04 (≤ 3.5) | 2.0 (≥ 6) |