HSS Journal ®

, Volume 7, Issue 3, pp 286–289 | Cite as

Guillain–Barré Syndrome Mimicking Nerve Injury After Total Hip Arthroplasty

  • Benton E. Heyworth
  • Peter D. FabricantEmail author
  • Mark M. Pizzurro
  • Burak Beksac
  • Eduardo A. Salvati
Case Report



Guillain–Barré syndrome (GBS) is a rare, acute, inflammatory demyelinating polyneuropathy with a presentation of progressive ascending motor weakness of the extremities, which may extend to the respiratory muscles and require mechanical support.

Case Description

This case describes a healthy male who developed GBS 1 week following otherwise an uncomplicated bilateral total hip arthroplasty surgery. The diagnosis was made based on physical exam significant for bilateral lower extremity weakness and diffuse arreflexia, and confirmed by nerve conduction studies. There were no effects on respiratory function, and the patient underwent a gradual recovery, with near complete return of motor function by 10 weeks following surgery and no functional deficits at 1 year following surgery. Functional activity levels are maintained 4 years postoperatively.

Literature Review

A literature review is presented. While GBS has been described in the literature following several different forms of surgery and anesthesia, cases after orthopedic surgery are exceedingly rare.

Purposes and Clinical Relevance

This case demonstrates that GBS may occur following orthopedic, including total joint arthroplasty, surgery. The presentation of GBS can be variable, but the hallmarks are areflexia and diffuse ascending weakness, with or without sensory symptoms. Rapid diagnosis and treatment are critical for preventing disability and life-threatening sequelae.


Epidural Anesthesia Total Joint Arthroplasty Demyelinating Polyneuropathy Degenerative Lumbar Scoliosis Acute Inflammatory Demyelinating Polyneuropathy 
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

© Hospital for Special Surgery 2011

Authors and Affiliations

  • Benton E. Heyworth
    • 1
  • Peter D. Fabricant
    • 2
    Email author
  • Mark M. Pizzurro
    • 3
  • Burak Beksac
    • 2
  • Eduardo A. Salvati
    • 2
  1. 1.Pediatric Orthopaedic SurgeryChildren’s Hospital BostonBostonUSA
  2. 2.Orthopaedic SurgeryHospital for Special SurgeryNew YorkUSA
  3. 3.Orthopaedic SurgerySeton Hall University, St. Joseph’s Regional Medical CenterPatersonUSA

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