Neuromuscular scoliosis as a sequelae of Guillain-Barre syndrome

The neuromuscular sequaelae of Guillain-Barre syndrome are well documented in the literature. Persistent distal muscular weakness and loss of peripheral limb reflexes are common in those affected. We report a case of a 14-year-old boy who developed the Miller-Fisher variant of Guillain-Barre syndrome at the age of 8 years. Six years after the acute episode, he had persistent lower limb areflexia and mild weakness. Fie had also developed a neuromuscular scoliosis. The scoliosis was successfully treated with posterior instrumentation and fusion surgery. Neuromuscular scoliosis is rare following Guillain-Barre syndrome, with no previous reports associated with the Miller-Fisher variant that we are aware of. When evaluating patients post Guillain-Barre syndrome, structural spinal examination is essential to identify rare deformity that may need surgical correction. J Pediatr Orthop B 19:95-97 (C) 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.