双侧爪形手：一种不常见的吉兰-巴雷综合征区域性表现。

Bilateral claw hand: an uncommon presentation of regional Guillain-Barré syndrome.

机构信息

Department of Neurology, Democritus University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece; Second Department of Neurology, University of Athens, School of Medicine, "Attikon" University Hospital, Athens, Greece.

出版信息

J Neurol Sci. 2013 Nov 15;334(1-2):24-5. doi: 10.1016/j.jns.2013.07.009. Epub 2013 Jul 25.

DOI:10.1016/j.jns.2013.07.009

PMID:23927940

Abstract

We present an uncommon case of a 38-year-old man presented with bilateral subacute weakness of intrinsic hand muscles, manifesting as bilateral claw-hand, without sensory deficits and absent tendon reflexes in upper arms. Nerve conduction studies showed findings consistent with demyelinating GBS. During the fourth day of hospitalization the patient presented symmetrical distal leg weakness and was treated with intravenous immunoglobulin.

摘要

我们报告 1 例不常见病例，患者为 38 岁男性，表现为双侧手部内在肌亚急性无力，呈双侧爪状手，无上臂感觉缺失和腱反射消失。神经传导研究显示脱髓鞘性吉兰-巴雷综合征的表现一致。住院第 4 天，患者出现对称性远端腿部无力，给予静脉注射免疫球蛋白治疗。