Acute Neuropathy Mimicking Guillain-Barré Syndrome after Diabetic Ketoacidosis: A casereport

Authors

Po-Hong Chen
Hsiu-Fang Hsueh
Chang-Zern Hong

Translated Title

糖尿病酮酸中毒併發類基蘭巴瑞症候群之急性神經病變：病例報告

Abstract

A 42 year-old woman was admitted in a comatose state after exhibiting polydipsia and progressive body weight loss of 4-week duration. Diabetic ketoacidosis was diagnosed due to an increased blood glucose level (956 mg/dl), metabolic acidosis, and positive urinary ketone bodies. On the fourth hospital day, despite recovery from the critical state of ketoacidosis, the patient suffered from progressively ascending paresthesia and weakness in the lower limbs. On the basis of clinical and electrophysiological findings, axonal Guillain-Barré syndrome presenting as a paraparesis variant, a very unusual neuropathy related to diabetic ketoacidosis, was diagnosed. The patient reached satisfactory functional outcome after eight weeks of outpatient rehabilitation program. This article discusses the differential diagnoses of acute onset of weakness in critically ill patients. Correlation of pathogenesis between Guillain-Barré syndrome and diabetes mellitus is briefly described. Management policies of Guillain-Barré syndrome, including rehabilitative treatment, are also delineated.

Language

English

DOI Link

https://doi.org/10.6315/2006.34(1)06

First Page

41

Last Page

47

Recommended Citation

Chen, Po-Hong; Hsueh, Hsiu-Fang; and Hong, Chang-Zern (2006) "Acute Neuropathy Mimicking Guillain-Barré Syndrome after Diabetic Ketoacidosis: A casereport," Rehabilitation Practice and Science: Vol. 34: Iss. 1, Article 6.
DOI: https://doi.org/10.6315/2006.34(1)06
Available at: https://rps.researchcommons.org/journal/vol34/iss1/6