Acute axonal polyneuropathy associated with anti-GM1 antibodies following Campylobacter enteritis

Neurology. 1990 Dec;40(12):1900-2. doi: 10.1212/wnl.40.12.1900.

Abstract

We report 2 patients with Guillain-Barré syndrome (GBS) following Campylobacter jejuni enteritis. Electrophysiologic studies indicated that the predominant process was axonal degeneration of motor nerves, and clinical recovery was poor. Serum testing by thin-layer chromatography and enzyme-linked immunosorbent assay revealed that the sera from both patients contained high titers of IgG antibody against GM1 ganglioside. These cases may represent a subgroup of GBS as acute axonal polyneuropathy following C jejuni enteritis associated with anti-GM1 antibodies.

Publication types

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

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Autoantibodies / analysis*
  • Campylobacter Infections / complications*
  • Campylobacter jejuni*
  • Enteritis / complications*
  • Female
  • G(M1) Ganglioside / immunology*
  • Humans
  • Immunoglobulin G / analysis
  • Male
  • Motor Neurons / physiology
  • Neurons, Afferent / physiology
  • Polyradiculoneuropathy / diagnosis
  • Polyradiculoneuropathy / etiology
  • Polyradiculoneuropathy / physiopathology*
  • Sural Nerve / physiopathology
  • Tibial Nerve / physiopathology
  • Ulnar Nerve / physiopathology

Substances

  • Autoantibodies
  • Immunoglobulin G
  • G(M1) Ganglioside