International Journal of Scientific Reports | August 2022 | Vol 8 | Issue 8 Page 243
International Journal of Scientific Reports
Rakhecha G et al. Int J Sci Rep. 2022 Aug;8(8):243-245
http://www.sci-rep.com
pISSN 2454-2156 | eISSN 2454-2164
Case Report
A 35-year-old young patient with acute idiopathic polyneuritis
(Guillain-Barré syndrome): a case report
Ghanshyam Rakhecha
1
*, Raju Ram Parihar
2
, Aksa Grace Shajan
1
INTRODUCTION
GBS is an acute polyneuropathy characterised by varying
degrees of weakness that peaks in 4 weeks.
Approximately 5% of GBS patients are later diagnosed
with chronic inflammatory demyelinating
polyradiculoneuropathy (CIDP) with acute onset (A-
CIDP).
1
Peripheral nerves transmit sensory information
(such as pain and temperature) from the body to the
brain, as well as motor impulses (such as movement)
from the brain to the body. GBS is marked by weakness,
numbness, or tingling in the legs and arms, as well as
probable loss of movement and sensation in the legs,
arms, upper body and face.
2
CASE REPORT
A male client “X” 35 year of age referred to King Edward
memorial hospital (KEM), Parel, Mumbai. Client had no
any significant past medical and surgical history.
On 17 March 2022, he had tingling sensation bilateral
lower limb (right>left) and he visited to the Buldana
Hospital and took treatment but there was no relief.
Client also went for ayurvedic doctor for routine test and
took treatment, but no outcome was observed.
On 20 March 2022 client went to neurologist for further
treatment, there doctor labelled this condition as fibre
neuropathy. He prescribed some treatment and advised
for MRI. MRI was done and all were in normal limits.
After it, doctor advised CSF study, intravenous IG and
referred to Avishleav Hospital. On same day patient
developed bilateral weakness, he was able to walk but
had imbalance while walking. Weakness in bilateral
lower limb which was gradually progressed in 5-6 days
and patient was unable to stand or get up from squatting
position. Then patient was referred to Apex Hospital,
Aurangabad, where nerve conduction study and CSF
study was done. The CSF study result showed presence
of high amount of protein (85 mg/dl) in CSF. The patient
ABSTRACT
Guillain-Barré syndrome (GBS) is an acute polyneuropathy characterised by varying degrees of weakness that peaks
in 4 weeks. We were presenting a case of men of 35 year of age, who had tingling sensation in lover limb (right>left),
which was gradually extended, imbalance walking, unable to stand from squatting position and respiratory weakness.
The patient took treatment at local hospitals and refer to KEM hospital, where he was diagnosed with GBS syndrome
by diagnostic test. He was administered with medication and intravenous immunoglobulin.
Keywords: Guillain-Barré syndrome, Acute idiopathic polyneuritis, Intravenous immunoglobulin treatment,
Extremity weakness
1
Leelabai Thackersey College of Nursing, Shreemati Nathibai Damodar Thackersey Women’s University, Mumbai,
Maharashtra, India
2
Medical Surgical Nursing, Mayurakshi College of Nursing, Jodhpur, Rajasthan, India
Received: 11 June 2022
Accepted: 12 July 2022
*Correspondence:
Ghanshyam Rakhecha,
E-mail: Grakhecha08@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: https://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20221840