Polo A, Manganotti P, Zanette G, De Grandis D
Institute of Neurology, University of Verona, Italy.
J Neurol Neurosurg Psychiatry. 1992 May;55(5):398-400. doi: 10.1136/jnnp.55.5.398.
A 13 year old boy, developed bilateral facial weakness, dysphonia and dysphagia acutely after a febrile illness. Neurological examination and MRI of the brain were normal. The CSF protein level increased. Blink reflex monitoring during clinical recovery was consistent with demyelination of the lower cranial nerves innervating the branchial arch musculature, a rare variant of Guillain-Barré syndrome.
一名13岁男孩在发热性疾病后急性出现双侧面部无力、发音困难和吞咽困难。神经系统检查和脑部MRI均正常。脑脊液蛋白水平升高。临床恢复期间的眨眼反射监测结果与支配鳃弓肌肉组织的下颅神经脱髓鞘一致,这是吉兰-巴雷综合征的一种罕见变异型。