Odaka M, Yuki N, Hirata K
Department of Neurology, Dokkyo University School of Medicine, Kitakobayashi 880, Mibu, Shimotsuga, Tochigi 321-0293, Japan.
J Neurol Neurosurg Psychiatry. 1999 Aug;67(2):206-8. doi: 10.1136/jnnp.67.2.206.
A 29 year old woman developed diplopia and ataxic gait. Neurological examination showed total ophthalmoplegia, cerebellar ataxia, and areflexia. Moreover, there was muscle weakness in all four limbs. An overlap of Fisher's and Guillain-Barré syndromes was dignosed. On day 5 she suddenly developed involuntary flinging movements that affected the face and four limbs. Surface EMG showed 1.5-2 Hz rhythmic grouping discharges. The involuntary movements were considered ballism. This is the first report of a patient with Guillain-Barré syndrome and a related disorder who showed ballism.
一名29岁女性出现复视和共济失调步态。神经系统检查显示完全性眼肌麻痹、小脑共济失调和反射消失。此外,四肢均有肌肉无力。诊断为费舍尔综合征和吉兰-巴雷综合征重叠。在第5天,她突然出现影响面部和四肢的不自主投掷运动。表面肌电图显示有1.5 - 2赫兹的节律性成组放电。这些不自主运动被认为是投掷症。这是首例出现投掷症的吉兰-巴雷综合征及相关疾病患者的报告。