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Journal of Neurology

, Volume 254, Issue 2, pp 250–252 | Cite as

Acute motor axonal neuropathy presenting with bowel, bladder, and erectile dysfunction

  • Setsu Sawai
  • Ryuji SakakibaraEmail author
  • Tomoyuki Uchiyama
  • Zhi Liu
  • Tatsuya Yamamoto
  • Takashi Ito
  • Satoshi Kuwabara
  • Kazuaki Kanai
  • Masato Asahina
  • Takashi Yamanaka
  • Takeo Odaka
  • Taketo Yamaguchi
  • Takamichi Hattori
LETTER TO THE EDITORS

Sirs: Whereas cardiovascular dysfunction occurs in up to 60% of Guillain-Barré syndrome (GBS) patients [1, 2], pelvic organ dysfunction is less common (bladder, 25% [3]; bowel, 15% [4, 5]). According to subtypes of GBS, heart rate and plasma noradrenaline concentration were elevated in classical GBS [acute inflammatory demyelinating polyneuropathy (AIDP)] (n=7) (overactivity) but not in axonal GBS [acute motor axonal neuropathy (AMAN)] (n=8) [2], whereas bladder dysfunction was noted in 21% of AIDP (n=24) but in 50% of AMAN (n=4) (mostly underactivity) [3], presumably reflecting autonomic organ vulnerability among these variants. We recently had a case of AMAN presenting with bowel, bladder, and erectile dysfunction that has rarely been reported in this variant.

A 47-year-old man had an acute onset of colitis. Seven days after colitis onset, weakness, pain and numbness of the legs, difficulty with urination, and abdominal distension appeared almost simultaneously. In a gastroenterology...

Keywords

Erectile Dysfunction Nerve Conduction Study Urapidil Bowel Dysfunction Colonic Transit Time 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Steinkopff Verlag Darmstadt 2007

Authors and Affiliations

  • Setsu Sawai
    • 1
  • Ryuji Sakakibara
    • 1
    Email author
  • Tomoyuki Uchiyama
    • 1
  • Zhi Liu
    • 1
  • Tatsuya Yamamoto
    • 1
  • Takashi Ito
    • 1
  • Satoshi Kuwabara
    • 1
  • Kazuaki Kanai
    • 1
  • Masato Asahina
    • 1
  • Takashi Yamanaka
    • 1
  • Takeo Odaka
    • 2
  • Taketo Yamaguchi
    • 2
  • Takamichi Hattori
    • 1
  1. 1.Dept. of NeurologyChiba UniversityChibaJapan
  2. 2.Dept. of GastroenterologyChiba UniversityChibaJapan

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