Guillain-Barré syndrome after thalamotomy for tremor in MS
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The case report of development of MG in a patient with MS1 prompts us to report a patient with MS who developed Guillain-Barré syndrome (GBS). The patient was a 44-year-old man with an approximately 15-year history of relapsing-chronic progressive MS. Weakness and spasticity of the legs rendered him wheelchair dependent. Other neurologic signs and symptoms included severe right- and moderate left-arm intention tremor, spastic bladder, and right internuclear ophthalmoplegia. Because of right arm intention tremor that was refractory to multiple pharmacologic agents, the patient underwent a stereotactic left ventrolateral thalamotomy (P. Kelly, MD; NYU Medical Center; personal communication, 1994). Postoperatively, the patient did well, with markedly less tremor in the right arm and only slightly increased arm weakness. On postoperative day 13, peripheral left …
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