Bilateral claw hand: an uncommon presentation of regional Guillain-Barré syndrome

Georgios Tsivgoulis; Soultana Tsakaldimi; Konstantinos Vadikolias; Michalis Mantatzis; Aristeidis H Katsanos; Ioannis Heliopoulos; Charitomeni Piperidou

doi:10.1016/j.jns.2013.07.009

Bilateral claw hand: an uncommon presentation of regional Guillain-Barré syndrome

J Neurol Sci. 2013 Nov 15;334(1-2):24-5. doi: 10.1016/j.jns.2013.07.009. Epub 2013 Jul 25.

Authors

Georgios Tsivgoulis¹, Soultana Tsakaldimi, Konstantinos Vadikolias, Michalis Mantatzis, Aristeidis H Katsanos, Ioannis Heliopoulos, Charitomeni Piperidou

Affiliation

¹ Department of Neurology, Democritus University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece; Second Department of Neurology, University of Athens, School of Medicine, "Attikon" University Hospital, Athens, Greece. Electronic address: tsivgoulisgiorg@yahoo.gr.

PMID: 23927940
DOI: 10.1016/j.jns.2013.07.009

Abstract

We present an uncommon case of a 38-year-old man presented with bilateral subacute weakness of intrinsic hand muscles, manifesting as bilateral claw-hand, without sensory deficits and absent tendon reflexes in upper arms. Nerve conduction studies showed findings consistent with demyelinating GBS. During the fourth day of hospitalization the patient presented symmetrical distal leg weakness and was treated with intravenous immunoglobulin.

Keywords: Atypical; Claw hand; Finger extensors; Guillain-Barré syndrome; Muscle; Weakness.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Guillain-Barre Syndrome / complications*
Guillain-Barre Syndrome / drug therapy
Hand Deformities, Acquired / complications*
Hand Deformities, Acquired / drug therapy
Humans
Immunoglobulins, Intravenous / therapeutic use
Male

Substances

Immunoglobulins, Intravenous