Diagnosis of Guillain-Barré Syndrome After Total Hip Arthroplasty: A Case Report.
JBJS case connector
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.
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 May 27;11(2). doi: 10.2106/JBJS.CC.20.00848. PMID: 34038913.