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复发性 Fisher-Bickerstaff 综合征:中国病例报告。

Recurrent Fisher-Bickerstaff syndrome: report of a Chinese case.

机构信息

Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.

出版信息

Chin Med J (Engl). 2011 Sep;124(17):2786-8.

Abstract

Fisher-Bickerstaff syndrome (FBS) was recently proposed to help to diagnose the conditions that overlap Fisher syndrome and Bickerstaff’s brainstem encephalitis, as well as the unclassified conditions that had ophthalmoplegia and ataxia with clear consciousness, flexor plantar response and preserved tendon reflexes. Recurrences are exceptional with Guillain-Barré syndrome and its variants. Here we reported a patient with diagnosis of recurrent FBS. The patient presented with recurrent drowsiness, unsteady gait, diplopia and reduced deep tendon reflexes, which met the diagnostic criteria for FBS. The interval was eight months. He was treated with intravenous immunoglobulins during each episode and got good recovery. To our knowledge, this is a relatively early report about recurrent FBS case that had central and peripheral involvement during each episode in China.

摘要

Fisher-Bickerstaff 综合征(FBS)最近被提出,旨在帮助诊断重叠 Fisher 综合征和 Bickerstaff 脑干脑炎的病症,以及伴有意识清楚、屈肌跖反射和腱反射正常的眼肌瘫痪和共济失调的未分类病症。吉兰-巴雷综合征及其变异型很少复发。在这里,我们报告了一例复发性 FBS 患者。该患者出现反复发作的嗜睡、步态不稳、复视和深部腱反射减弱,符合 FBS 的诊断标准。两次发作间隔 8 个月。每次发作时,他都接受了静脉注射免疫球蛋白治疗,恢复良好。据我们所知,这是中国首例在每次发作中均有中枢和周围受累的复发性 FBS 病例的较早报告。

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