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The patient was discharged on maintenance corticotherapy and immunosuppressive treatment with azathioprine. Conclusions We report a very rare association between Guillain-Barré syndrome and acute transverse myelitis triggered by a surgical intervention with general anaesthesia. The overlap of Guillain-Barré syndrome and acute transverse myelitis makes the prognosis for recovery worse, and further studies are needed to establish the first-line therapy in these cases. © 2020 Adina Stoian, Anca Motataianu, Zoltan Bajko, Adrian Ba