TITLE:
Belatedly diagnosed acute motor axonal neuropathy after cardiac surgery
AUTHORS:
Chong Tae Kim, Todd Beery
KEYWORDS:
Guillain-Barré Syndrome; Acute Motor Axonal Neuropathy; Cardiac Surgery; Sequential Electrodiagnosis; Urinary Retention
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.2 No.7,
October
22,
2013
ABSTRACT: Surgery has been reported a rare cause of Guillain-Barré syndrome (GBS), but a recent retrospective study reported a much higher incidence rate for post-surgical patients. There are several case reports of GBS presenting after cardiac surgical procedures. All these cases were diagnosed as acute inflammatory demyelinating polyradiculoneuropathy (AIDP). We described a case of acute motor axonal neuropathy (AMAN) after cardiac surgery. Clinical features were reviewed along with spinal magnetic resonance imaging (MRI) and cerebral spinal fluid (CSF) analysis. Sequential electrodiagnostic studies (EDx) were performed. This case represented a rare complication of AMAN with urinary retention after cardiac surgery.