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

Table 1. Neurological Examination Findings on Admission
 
Upper limbLower limb
RightLeftRightLeft
AppearanceNormal
ToneNormal
Power (Medical Research Council grading system)Shoulder abductionHip flexion
1/51/52/52/5
Elbow flexionHip extension
3/53/54-/54/5
Elbow extensionKnee flexion
2/52/51/51/5
Wrist extensionKnee extension
4-/54-/52/52/5
Finger adductionAnkle dorsiflexion
3/53/54+/54+/5
ReflexesAbsent
Babinski signNegative
SensationVariable and patchy loss to pinprick
ProprioceptionNormal
CoordinationUnable to assess

 

Table 2. Sensory and Motor Nerve Conduction Study Findings on Admission
 
Sensory nerve conduction studiesPeak latency (m/s) (reference value)Amplitude (µV) (reference value)Conduction velocity (m/s) (reference value)
Left median
  Index finger - wristAbsent--
Left ulnar
  Little finger - wristAbsent--
Left superficial peroneal
  Lower leg - ankleAbsent--
Right superficial peroneal
  Lower leg - ankleAbsent--
Left radial
  Forearm - first web space1.26 (≤ 2.7)5.7 (≥ 20)Not calculated
Left sural
  Middle lower leg - ankleAbsent--
Motor nerve conduction studiesOnset 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 brevis3.70 (≤ 4.4)1.48 (≥ 4)47.5 (≥ 49)31.8 (≤ 28.5)
  Elbow - wrist9.49 (≤ 4.4)1.08 (≥ 4)
Left peroneal
  Ankle - extensor digitorum brevis4.59 (≤ 6.1)3.4 (≥ 2)32.1 (≥41)Not measured
  Knee - ankle16.1 (≤ 6.1)2.1 (≥ 2)
Right peroneal
  Ankle - extensor digitorum brevis3.98 (≤ 6.1)3.3 (≥ 2)27.3 (≥41)Not measured
  Knee - ankle16.6 (≤ 6.1)1.61 (≥ 2)
Left tibial
  Ankle - abductor hallucis4.01 (≤ 6.1)2.4 (dispersed) (≥ 3)Not calculatedAbsent
Right tibial
  Ankle - abductor hallucis4.09 (≤ 6.1)10.4 (≥ 3)Not calculatedObscured by muscle artefact
Left ulnar
  Wrist - abductor digiti minimi2.45 (≤ 3.5)5.9 (≥ 6)37.9 (≥ 49)Absent
  Elbow - wrist9.04 (≤ 3.5)2.0 (≥ 6)