Cortelli P, Contin M, Lugaresi A, Baruzzi A, Montagna P
Istituto di Clinica Neurologica, Università di Bologna.
Ital J Neurol Sci. 1990 Apr;11(2):159-62. doi: 10.1007/BF02335559.
A 39 year old man with acute panautonomic and mild somatic neuropathy had severe postural hypotension 1 week after onset. Porphyric neuropathy was excluded. The final diagnosis was Guillain-Barré syndrome (GBS). After 2 months he began to recover progressively and after 9 months he presented asymptomatic postural hypotension. We consider the hypothesis of a spectrum of clinico-pathological entities at one end of which lies GBS with autonomic signs and at the other acute pure dysautonomia. The site of the autonomic lesion, might have been in post-ganglionic sympathetic fibers and vagus nerve.
一名39岁男性，患有急性全自主神经功能障碍和轻度躯体神经病变，发病1周后出现严重体位性低血压。排除了卟啉病性神经病变。最终诊断为吉兰-巴雷综合征（GBS）。2个月后他开始逐渐康复，9个月后出现无症状体位性低血压。我们考虑这样一种假说，即存在一系列临床病理实体，一端是伴有自主神经体征的GBS，另一端是急性单纯性自主神经功能障碍。自主神经病变的部位可能在节后交感神经纤维和迷走神经。
