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NEUROLOGY 1990;40:1900
© 1990 American Academy of Neurology

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

Nobuhiro Yuki, MD, Hiide Yoshino, MD, Shuzo Sato, MD and Tadashi Miyatake, MD

Department of Neurology, Brain Research Institute, Niigata University, Niigata, Japan.

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.

Address correspondence and reprint requests to Dr. Nobuhiro Yuki, Department of Neurology, Brain Research Institute, Niigata University, 1 Asahimachi, Niigata, 951 Japan.

Supported in part by grants-in-aid from the Ministry of Education, Science, and Culture of Japan and the Ministry of Health and Welfare of Japan.

Received April 6, 1990. Accepted for publication in final form May 9, 1990.




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