Hydrocephalus in Guillain-Barré syndrome.


Hydrocephalus and pseudotumour cerebri are a rare complication of Guillain-Barré syndrome (GBS), occurring in about 4% of the cases. The high concentration of cerebrospinal fluid (CSF) protein may lead to a decreased CSF absorption in arachnoid villi. A 10-year-old boy with GBS and hydrocephalus is presented. A mechanical ventilation was required 7 days after admission and he had been on the mechanical ventilation for 6 weeks. Lumbar puncture performed on admission revealed clear CSF with an opening pressure of 15 cm H2O and no cells, a normal glucose level and a protein of 240 mg/dl. He complained of headache and diplopia 11 weeks after admission. Fundoscopy revealed papilloedema, and bilateral mild abducens pareses were also detected. Magnetic resonance imaging displayed a communicating hydrocephalus and interstitial oedema. A ventriculo-peritoneal shunt relieved the symptoms of intracranial hypertension. In GBS, serial computed tomographic scans should be performed in patients with headache and papilloedema. Hydrocephalus may develop in GBS.


Citations per Year

1,645 Citations

Semantic Scholar estimates that this publication has 1,645 citations based on the available data.

See our FAQ for additional information.

Cite this paper

@article{Erahin1995HydrocephalusIG, title={Hydrocephalus in Guillain-Barr{\'e} syndrome.}, author={Yusuf Erşahin and Saffet Mutluer and Taşkin Yurtseven}, journal={Clinical neurology and neurosurgery}, year={1995}, volume={97 3}, pages={253-5} }