{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T11:47:34Z","timestamp":1747223254883,"version":"3.40.5"},"reference-count":5,"publisher":"Pensoft Publishers","issue":"5","license":[{"start":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T00:00:00Z","timestamp":1698710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p>Complications following lateral retroperitoneal transpsoas lumbar fusion (LLIF) surgery include femoral nerve apraxia, bowel\/bladder injury, ureteral injury, and potentially, as illustrated in this case report, Guillain-Barr\u00e9 syndrome. Guillain-Barr\u00e9 syndrome (GBS) is an autoimmune inflammatory condition that typically presents after infection, or, less frequently, post-operatively. We report a case of GBS following elective lumbar fusion through the lateral retroperitoneal transpsoas approach (LLIF). A 56-year-old patient presented with left lower extremity (LLE) weakness on post-operative day 12. EMG showed bilateral upper extremity muscle recruitment, worse distally. Following a treatment with intravenous immunoglobulin (IVIG), the patient gradually improved, and her condition was favorable at 6-month post-operative follow-up. CSF analysis and EMG should be part of the workup for patients presenting with lower extremity neuropathy following LLIF.<\/jats:p>","DOI":"10.3897\/folmed.65.e93659","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T11:58:37Z","timestamp":1698753517000},"page":"839-843","source":"Crossref","is-referenced-by-count":0,"title":["Guillain-Barr\u00e9 syndrome after elective lateral lumbar interbody fusion"],"prefix":"10.3897","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6135-6268","authenticated-orcid":true,"given":"Elad","family":"Mashiach","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"Kravchenko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3631-6256","authenticated-orcid":true,"given":"Christopher E.","family":"Talbot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John L.","family":"Gillick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2258","published-online":{"date-parts":[[2023,10,31]]},"reference":[{"key":"93659_B1","doi-asserted-by":"crossref","unstructured":"1. Boghani Z, Livingston AD, Simpson EP, et al. Acute onset of Guillain-Barr\u00e9 syndrome after elective spinal surgery. World Neurosurg 2015; 84(2):376\u20139.","DOI":"10.1016\/j.wneu.2015.03.036"},{"key":"93659_B2","doi-asserted-by":"crossref","unstructured":"2. Rashid A, Kurra S, Lavelle W. Guillain-Barr\u00e9 syndrome after revision lumbar surgery: a case report. Cureus 2017; 9(6):e1393.","DOI":"10.7759\/cureus.1393"},{"key":"93659_B3","doi-asserted-by":"crossref","unstructured":"3. Chen EY, Stratton C, Mercer B, et al. Guillain-Barr\u00e9 syndrome after elective spinal surgery. J Am Acad Orthop Surg 2017; 25(8):587\u201393.","DOI":"10.5435\/JAAOS-D-16-00572"},{"key":"93659_B4","doi-asserted-by":"crossref","unstructured":"4. Pumberger M, Hughes AP, Huang RR, et al. Neurologic deficit following lateral lumbar interbody fusion. Eur Spine J 2012; 21(6):1192\u20139.","DOI":"10.1007\/s00586-011-2087-9"},{"key":"93659_B5","unstructured":"5. Wang H, Li L, Zhang Y, et al. Expression and significance of CD4(+)CD25(+)CD127(-) regulatory T cells in peripheral blood of patients with different phenotypes of Guillain-Barr\u00e9 syndrome. Int J Clin Exp Med 2015; 8(10):19126\u201331."}],"container-title":["Folia Medica"],"original-title":[],"link":[{"URL":"https:\/\/foliamedica.bg\/article\/93659\/download\/pdf\/","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article\/93659\/download\/xml\/","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article_preview.php?id=93659&skip_redirect=1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T11:58:42Z","timestamp":1698753522000},"score":1,"resource":{"primary":{"URL":"https:\/\/foliamedica.bg\/article\/93659\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,31]]},"references-count":5,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,10,31]]}},"URL":"https:\/\/doi.org\/10.3897\/folmed.65.e93659","relation":{},"ISSN":["1314-2143","0204-8043"],"issn-type":[{"type":"electronic","value":"1314-2143"},{"type":"print","value":"0204-8043"}],"subject":[],"published":{"date-parts":[[2023,10,31]]}}}