Heterotopic Ossification in Guillain-Barre´ Syndrome- A Dual Case Report

Abstract

Heterotopic Ossification (HO) is formation of atypical, lamellar bone within a soft tissue surrounding major joints. It is well documented as a complication following spinal cord injury and traumatic brain injury; however, it is quite rarely seen in lower motor neuron conditions like Guillain-Barre Syndrome (GBS). Here, we present two cases of GBS (both young males) with Bilateral hip pain who were diagnosed HO on the basis of radiological study while still admitted in the Intensive Care Unit (ICU). Both of them had history of mechanical ventilation, tetraparesis and prolonged immobilisation. There are very few reports of HO in GBS and if detected early, it improves the functional outcome.

Keywords

• acute inflammatory demyelinating polyneuropathy
• flaccid muscle tone
• lower motor neuron injury
• myositis ossificans
• spinal cord injury
• traumatic brain injury
• tissue hypoxia