Evidence map›Paper›PMID 42571312›Full record

ArticleCureus2026

Guillain-Barré Syndrome Following Orthopedic Trauma and Surgical Fixation: A Case of Acute Inflammatory Demyelinating Polyradiculoneuropathy.

Ajinkya Kakade, Shilpa Deoke, Sayali D Kolse, Fahad Idrees Shaikh, Nishka Tiwari

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ajinkya KakadeGeneral Medicine, N.K.P. Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, IND.
Shilpa DeokeInternal Medicine, N.K.P. Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, IND.
Sayali D KolseInternal Medicine, N.K.P. Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, IND.
Fahad Idrees ShaikhMedical Education, N.K.P. Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, IND.
Nishka TiwariMedical Education, N.K.P. Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Guillain-Barré syndrome (GBS) is an acute inflammatory immune-mediated polyradiculoneuropathy characterized by rapidly progressive ascending weakness, generalized areflexia, and varying degrees of cranial nerve involvement. Although antecedent respiratory and gastrointestinal infections are the most commonly seen triggers, an association between surgery and GBS has increasingly been recorded in recent years. Recognition in postoperative patients may be delayed because neurological deficits are commonly attributed to postoperative complications, prolonged immobility, metabolic abnormalities, or medication-related adverse effects. Although GBS following orthopedic surgery has been increasingly reported in recent years, it remains an important diagnostic challenge because postoperative neurological deficits are frequently attributed to surgical, metabolic, or medication-related causes, resulting in delayed diagnosis and treatment. We report the case of a 19-year-old male who developed rapidly progressive ascending quadriparesis with areflexia and right lower motor neuron facial palsy around 10 days after open reduction and internal fixation for left tibia and fibula fractures. Nerve conduction studies demonstrated demyelinating sensorimotor polyradiculoneuropathy consistent with the acute inflammatory demyelinating polyradiculoneuropathy type of GBS. Cerebrospinal fluid analysis showed albuminocytological dissociation. The patient was treated with intravenous immunoglobulin therapy and demonstrated remarkable neurological recovery with near-complete restoration of motor function at follow-up. This case highlights the diagnostic challenges associated with postoperative GBS and emphasizes the importance of maintaining a high index of suspicion in patients presenting with rapidly progressive weakness after orthopedic procedures. Early electrophysiological evaluation and prompt immunotherapy can result in excellent neurological recovery.

Indexed as

acute inflammatory demyelinating polyradiculoneuropathydemyelinating neuropathyguillain-barré syndromeivigorthopedic surgerypostsurgical guillain-barré syndrome

Identifiers

PMID42571312
PMCPMC13452077

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.