Belatedly diagnosed acute motor axonal neuropathy after cardiac surgery.docVIP

Vol.2, No.7, 395-398 (2013) Case Reports in Clinical Medicine /10.4236/crcm.2013.27105 Belatedly diagnosed acute motor axonal neuropathy after cardiac surgery Chong Tae Kim , Todd Beery 1,2 2 1 * 2 Division of Rehabilitation Medicine, The Children’s Hospital of Philadelphia, Philadelphia, USA; Corresponding Author: kim@ Department of Physical Medicine and Rehabilitation, University of Pennsylvania, Philadelphia, USA Received 18 March 2013; revised 18 April 2013; accepted 10 May 2013 Copyright ? 2013 Chong Tae Kim, Todd Beery. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT tention that developed after cardiac surgery. The diagno- sis of AMAN was confirmed by serial electrodiagnostic studies (EDx). Surgery has been reported a rare cause of Guil- lain-Barré syndrome (GBS), but a recent retro- spective study reported a much higher inci- dence rate for post-surgical patients. There are several case reports of GBS presenting after cardiac surgical procedures. All these cases were diagnosed as acute inflammatory demye- linating polyradiculoneuropathy (AIDP). We de- scribed a case of acute motor axonal neuropa- thy (AMAN) after cardiac surgery. Clinical fea- tures were reviewed along with spinal magnetic resonance imaging (MRI) and cerebral spinal fluid (CSF) analysis. Sequential electrodiagnos- tic studies (EDx) were performed. This case represented a rare complication of AMAN with urinary retention after cardiac surgery. 2. CASE PRESENTATION A 24-year-old female with congenital heart disease (tetralogy of Fallot and absent pulmonic valve) and a history of prior cardiac heart surgery (main pulmonary artery banding, ventricular septal defect closure, right ventricle