Department of Neurology, Khoulah Hospital, Muscat, Oman
Case Report
Guillain?Barre syndrome presentation mimicking stroke: An atypical presentation
Author(s): Samar Iltaf Mairaj, Abdullah Al Salti and Farzad Fatehi*
We herein report an unusual case of a 58-year-old man with
polycythemia presented with sudden right leg and right arm weakness.
He was treated for a stroke but continued to worsen, leading to
quadriparesis. He was referred to the emergency department after
experiencing progressive weakness in all four limbs for five days.
No prior history of fever, cough, chest pain, diarrhea, backache, or
trauma was found. The patient had normal neurological examination,
MRC scores, and bilateral weak hand grips. Sensory examination
was normal. The patient had normal blood tests, electrolytes and
brain MRI. CSF examination revealed protein an albumin-cytological
dissociation pattern. An electrodiagnostic study showed evidence of
acute motor axonal polyneuropathy. The patient received IVIg for
five days, and symptoms improved significantly... View More»
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