Douglas Michael R, Winer John B
Department of Neurology, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK.
Expert Rev Neurother. 2006 Oct;6(10):1569-74. doi: 10.1586/14737175.6.10.1569.
Guillain-Barré syndrome typically presents with an acute ascending areflexic weakness, progressing over 4 weeks or less. The most common form of the disease is an acute inflammatory demyelinating polyneuropathy, but other forms with primarily axonal pathologies are well documented. The association of Guillain-Barré syndrome with a range of antecedent infections, particularly Campylobacter jejuni enteritis, is also established. A range of serological and neurophysiological investigations can assist in making an accurate diagnosis. Background information about the syndrome and the evidence base for such treatments are discussed herein.
吉兰-巴雷综合征通常表现为急性上行性无反射性肌无力,在4周或更短时间内进展。该疾病最常见的形式是急性炎症性脱髓鞘性多发性神经病,但其他主要为轴索性病变的形式也有充分记录。吉兰-巴雷综合征与一系列前驱感染,特别是空肠弯曲菌肠炎的关联也已确立。一系列血清学和神经生理学检查有助于做出准确诊断。本文讨论了该综合征的背景信息以及此类治疗的证据基础。