Diagnosis of Guillain-Barré Syndrome After Total Hip Arthroplasty: A Case Report.

Document Type

Article

Publication Date

5-27-2021

Publication Title

JBJS case connector

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.

Volume

11

Issue

2

DOI

10.2106/JBJS.CC.20.00848

ISSN

2160-3251

PubMed ID

34038913

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