Cervical Myelopathy with Concomitant Guillain-Barré Syndrome: A Case Report

JBJS Case Connect. 2024 Jan 11;14(1). doi: 10.2106/JBJS.CC.23.00533. eCollection 2024 Jan 1.

Abstract

Case: We present a case of a 67-year-old female patient with concomitant cervical spondylotic myelopathy (CSM) and Guillain-Barré syndrome (GBS). Surgical intervention, including cervical decompression and arthrodesis, was performed to address cervical myelopathy symptoms. Despite initial improvement, the patient's motor function deteriorated, leading to the diagnosis of GBS. The patient's hospital course was protracted with a complicated recovery.

Conclusion: This case emphasizes the clinical details of coexisting CSM and GBS, highlighting the importance of diagnosing and considering demyelinating diseases when determining the optimal timeline for surgical intervention. These findings inform decision-making for clinicians encountering similar patient presentations.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cervical Vertebrae / diagnostic imaging
  • Cervical Vertebrae / surgery
  • Female
  • Guillain-Barre Syndrome* / complications
  • Humans
  • Spinal Cord Diseases*
  • Spondylosis* / complications
  • Spondylosis* / diagnostic imaging
  • Spondylosis* / surgery
  • Treatment Outcome