| Journal of Neurology Research, ISSN 1923-2845 print, 1923-2853 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Neurol Res and Elmer Press Inc |
| Journal website http://www.neurores.org |
Case Report
Volume 7, Number 4-5, October 2017, pages 97-101
Guillain-Barre Syndrome Following Seasonal Influenza Vaccination
Tables
| Upper limb | Lower limb | |||
|---|---|---|---|---|
| Right | Left | Right | Left | |
| Appearance | Normal | |||
| Tone | Normal | |||
| Power (Medical Research Council grading system) | Shoulder abduction | Hip flexion | ||
| 1/5 | 1/5 | 2/5 | 2/5 | |
| Elbow flexion | Hip extension | |||
| 3/5 | 3/5 | 4-/5 | 4/5 | |
| Elbow extension | Knee flexion | |||
| 2/5 | 2/5 | 1/5 | 1/5 | |
| Wrist extension | Knee extension | |||
| 4-/5 | 4-/5 | 2/5 | 2/5 | |
| Finger adduction | Ankle dorsiflexion | |||
| 3/5 | 3/5 | 4+/5 | 4+/5 | |
| Reflexes | Absent | |||
| Babinski sign | Negative | |||
| Sensation | Variable and patchy loss to pinprick | |||
| Proprioception | Normal | |||
| Coordination | Unable to assess | |||
| Sensory nerve conduction studies | Peak latency (m/s) (reference value) | Amplitude (µV) (reference value) | Conduction velocity (m/s) (reference value) | |
|---|---|---|---|---|
| Left median | ||||
| Index finger - wrist | Absent | - | - | |
| Left ulnar | ||||
| Little finger - wrist | Absent | - | - | |
| Left superficial peroneal | ||||
| Lower leg - ankle | Absent | - | - | |
| Right superficial peroneal | ||||
| Lower leg - ankle | Absent | - | - | |
| Left radial | ||||
| Forearm - first web space | 1.26 (≤ 2.7) | 5.7 (≥ 20) | Not calculated | |
| Left sural | ||||
| Middle lower leg - ankle | Absent | - | - | |
| Motor nerve conduction studies | Onset latency (m/s) (reference value) | Amplitude (mV) (reference value) | Conduction velocity (m/s) (reference value) | F wave (m/s) (reference value) |
| Left median | ||||
| Wrist - abductor pollicis brevis | 3.70 (≤ 4.4) | 1.48 (≥ 4) | 47.5 (≥ 49) | 31.8 (≤ 28.5) |
| Elbow - wrist | 9.49 (≤ 4.4) | 1.08 (≥ 4) | ||
| Left peroneal | ||||
| Ankle - extensor digitorum brevis | 4.59 (≤ 6.1) | 3.4 (≥ 2) | 32.1 (≥41) | Not measured |
| Knee - ankle | 16.1 (≤ 6.1) | 2.1 (≥ 2) | ||
| Right peroneal | ||||
| Ankle - extensor digitorum brevis | 3.98 (≤ 6.1) | 3.3 (≥ 2) | 27.3 (≥41) | Not measured |
| Knee - ankle | 16.6 (≤ 6.1) | 1.61 (≥ 2) | ||
| Left tibial | ||||
| Ankle - abductor hallucis | 4.01 (≤ 6.1) | 2.4 (dispersed) (≥ 3) | Not calculated | Absent |
| Right tibial | ||||
| Ankle - abductor hallucis | 4.09 (≤ 6.1) | 10.4 (≥ 3) | Not calculated | Obscured by muscle artefact |
| Left ulnar | ||||
| Wrist - abductor digiti minimi | 2.45 (≤ 3.5) | 5.9 (≥ 6) | 37.9 (≥ 49) | Absent |
| Elbow - wrist | 9.04 (≤ 3.5) | 2.0 (≥ 6) |