Royen Lydia, Olsen Niels Kjaer
Arhus Universitetshospital, Aalborg Sygehus, Neurologisk Afdeling, Denmark.
Ugeskr Laeger. 2010 Feb 22;172(8):632-3.
We report a case of Guillain Barré syndrome presenting with a unilateral internal ophthalmoplegia and unilateral minor sensory impairment, followed by respiratory failure, missing reflexes, tetraparesis and bilateral facial weakness. All symptoms responded to immunoglobulin. The diagnosis was confirmed by cerebrospinal fluid analysis and electroneurography. This case was especially unusual because the pupil abnormality was unilateral and appeared prior to motor impairment.
我们报告一例吉兰-巴雷综合征患者，该患者最初表现为单侧动眼神经麻痹和单侧轻度感觉障碍，随后出现呼吸衰竭、腱反射消失、四肢瘫和双侧面部无力。所有症状对免疫球蛋白治疗均有反应。通过脑脊液分析和神经电生理检查确诊。该病例特别罕见，因为瞳孔异常是单侧的，且出现在运动障碍之前。
