Pöschl P, Kohl Z, Thoden U, Winkler J, Jakob W
Klinik für Neurologie der Universität Regensburg, Universitätsstrasse 84, 93053 Regensburg, Germany.
Nervenarzt. 2006 Dec;77(12):1469-72. doi: 10.1007/s00115-006-2153-4.
Several neurologic disorders including Guillain-Barré syndrome (GBS) are associated with hyponatremia. Hyponatremia and its overly fast correction have major implications to the course of the underlying neurologic disease. We report a case of GBS complicated by hyponatremia secondary to the development of inadequate antidiuretic hormone secretion syndrome. Differential diagnosis, pathophysiology, and therapeutic approach of hyponatremia in association with GBS are discussed.
包括吉兰-巴雷综合征(GBS)在内的几种神经系统疾病与低钠血症有关。低钠血症及其过快纠正对基础神经系统疾病的病程有重大影响。我们报告一例GBS合并抗利尿激素分泌不足综合征继发的低钠血症病例。并讨论了与GBS相关的低钠血症的鉴别诊断、病理生理学及治疗方法。