Not Always as It Seems: A Case of Ascending Paralysis.

Abstract:

:Although generally presenting as a chronic, progressive peripheral neuropathy, we present a case of acute alcoholic neuropathy initially mistaken for acute Guillain-Barré syndrome. Electrodiagnostic evaluation of alcoholic neuropathy reveals an axonal neuropathy and may be complicated by demyelination if comorbid nutritional deficiencies are present. This is in contrast to the significant demyelination classically associated with Guillain-Barré syndrome. F waves, which are absent or prolonged in Guillain-Barré syndrome, are unaffected in alcoholic neuropathy. Further evaluation with lumbar puncture demonstrates normal protein and white blood cell counts in alcoholic neuropathy, as opposed to albuminocytologic dissociation characteristically present in acute Guillain-Barré syndrome.

journal_name

Am J Phys Med Rehabil

authors

Staszel JP,Miknevich M

doi

10.1097/PHM.0000000000001244

subject

Has Abstract

pub_date

2020-03-01 00:00:00

pages

e32-e34

issue

3

eissn

0894-9115

issn

1537-7385

journal_volume

99

pub_type

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