Guillain-Barré syndrome involving reproductive system revealed on 18F-FDG PET/CT: a case report - Summary - MDSpire

Guillain-Barré syndrome involving reproductive system revealed on 18F-FDG PET/CT: a case report

  • By

  • Huiling Li

  • Xinzhong Hao

  • Zhifang Wu

  • Sijin Li

  • Li Li

  • June 1, 2026

  • 0 min

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Objective:

To report a rare case of Guillain-Barré syndrome (GBS) with reproductive system involvement, emphasizing the unusual nature of this presentation identified through 18F-FDG PET/CT imaging.

Key Findings:
  • 18F-FDG PET/CT demonstrated multifocal hypermetabolism in the central nervous system and reproductive system, highlighting the atypical nature of this case.
  • Significant involvement of the right testis and right prostate was identified, which is rare in GBS cases.
  • Histopathological findings confirmed orchitis with a mixed T-cell and B-cell infiltrate, underscoring the inflammatory nature of the reproductive involvement.
Interpretation:

This case expands the phenotypic spectrum of GBS to include extraneural involvement, highlighting the utility of 18F-FDG PET/CT in complex presentations and its implications for clinical practice.

Limitations:
  • The case is a single report and may not represent broader trends in GBS presentations, limiting generalizability.
  • Lack of large-scale clinical studies on GBS with reproductive system involvement, which hinders understanding of this rare manifestation.
Conclusion:

The findings suggest that GBS can involve the reproductive system, and 18F-FDG PET/CT is a valuable tool for assessing systemic disease in atypical cases, emphasizing the need for awareness of such presentations.

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