Progressive flaccid paraparesis with albuminocytologic dissociation: It's not always Gullain-Barre syndrome.

Dimitrios Nouvakis, Konstantinos S Natsis, Antonia Tsika, Georgia Kourtesi, Evangelos Papamichalis, Harilaos Mourtzinos

The journal of spinal cord medicine 2020 Mar

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Spondylodiscitis, or vertebral osteomyelitis, is an unusual infection of the vertebral bodies and intervertebral discs that can occasionally present with neurological signs. We present a patient with subacute flaccid paraparesis with associated albuminocytologic dissociation who was eventually diagnosed with spondylodiscitis. The case presented depicts a diagnostic difficulty encountered in clinical practice: Albuminocytologic dissociation in CSF is not always attributed to Guillain-Barre syndrome and other possible causes such as obstructive spinal cord lesions must always be considered.

Citation

Dimitrios Nouvakis, Konstantinos S Natsis, Antonia Tsika, Georgia Kourtesi, Evangelos Papamichalis, Harilaos Mourtzinos. Progressive flaccid paraparesis with albuminocytologic dissociation: It's not always Gullain-Barre syndrome. The journal of spinal cord medicine. 2020 Mar;43(2):276-278