Ann Clin Neurophysiol.  2019 Jan;21(1):48-52. 10.14253/acn.2019.21.1.48.

Guillain-Barré syndrome supervening on meningitis in primary Epstein-Barr virus infection

Affiliations
  • 1Departments of Neurology, Soonchunhyang University Seoul Hospital, Soonchunhyang University School of Medicine, Seoul, Korea. newroh@schmc.ac.kr

Abstract

Primary Epstein-Barr virus (EBV) infection can manifest with a broad spectrum of neurological complications. There are only rare reports of Guillain-Barré syndrome (GBS) supervening on meningitis in patients with primary EBV infection. Clear evidence of central nervous system infection makes it difficult for the clinicians to consider a diagnosis of GBS. We present a patient with GBS supervening on meningitis in primary EBV infection.

Keyword

Epstein-Barr virus; Guillain-Barré syndrome; Meningitis

MeSH Terms

Central Nervous System Infections
Diagnosis
Epstein-Barr Virus Infections
Guillain-Barre Syndrome*
Herpesvirus 4, Human*
Humans
Meningitis*

Figure

  • Fig. 1. (A) Leptomeningeal enhancement was found in contrast-enhanced T1-weighted brain magnetic resonance imaging (MRI) with no parenchymal lesion. The findings of T2-weighted brain MRI were unremarkable. (B) No spinal cord lesion was evident in cervical, thoracic, and lumbar spine MRI.


Reference

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