急性多发性颅神经病变：格林-巴利综合征的眼咽型变异型
Acute multiple cranial neuropathy: An oculopharyngeal variant of Guillain-Barré Syndrome.
作者信息
Dosi Rupal, Ambaliya Annirudh, Patel Niyati, Shah Monisha, Patell Rushad
机构信息
Department of Medicine, Medical College, Baroda, Gujarat, India 376.
出版信息
Australas Med J. 2014 Sep 30;7(9):376-8. doi: 10.4066/AMJ.2014.2123. eCollection 2014.
Abstract
We report the case of a 20-year-old male who presented to us with acute bilateral multiple cranial neuropathy in the form of bilateral total ophthalmoplegia and bulbar dysfunction. The patient had normal haematological and biochemical investigations, however, cerebrospinal fluid (CSF) analysis showed raised protein (96mg/dl) in the second week of illness. Peripheral nerve conduction studies and an MRI of the brain were normal. The patient showed gradual improvement after three weeks of supportive treatment. Considering the course of illness and the clinical and investigational profile, a diagnosis of an oculopharyngeal variant of Guillain-Barré syndrome (GBS) was made.
摘要
我们报告了一例20岁男性患者，他以双侧完全性眼肌麻痹和延髓功能障碍的形式出现急性双侧多发性颅神经病变。患者血液学和生化检查正常，然而，脑脊液（CSF）分析显示在发病第二周蛋白质升高（96mg/dl）。周围神经传导研究和脑部MRI正常。经过三周的支持治疗，患者病情逐渐好转。考虑到病程以及临床和检查结果，诊断为格林-巴利综合征（GBS）的眼咽型变体。
相似文献
1
Acute multiple cranial neuropathy: An oculopharyngeal variant of Guillain-Barré Syndrome.急性多发性颅神经病变：格林-巴利综合征的眼咽型变异型
Australas Med J. 2014 Sep 30;7(9):376-8. doi: 10.4066/AMJ.2014.2123. eCollection 2014.
2
A study of Guillain-Barré syndrome with reference to cranial neuropathy and its prognostic implication.一项关于吉兰-巴雷综合征伴发颅神经病变及其预后意义的研究。
J Neurosci Rural Pract. 2014 Nov;5(Suppl 1):S43-7. doi: 10.4103/0976-3147.145200.
3
Acute multiple cranial neuropathy: a variant of Guillain-Barré syndrome?急性多发性颅神经病变：格林-巴利综合征的一种变异型？
Muscle Nerve. 2004 Oct;30(4):433-6. doi: 10.1002/mus.20136.
4
Acute bulbar palsy plus syndrome: A rare variant of Guillain-Barre syndrome.急性延髓麻痹加综合征：吉兰-巴雷综合征的一种罕见变异型。
J Pediatr Neurosci. 2016 Oct-Dec;11(4):322-323. doi: 10.4103/1817-1745.199480.
5
Guillain-barré syndrome without limb weakness: A rare variant with acute bulbar palsy.无肢体无力的吉兰-巴雷综合征：一种伴有急性延髓麻痹的罕见变异型。
J Family Med Prim Care. 2022 Aug;11(8):4854-4856. doi: 10.4103/jfmpc.jfmpc_2208_21. Epub 2022 Aug 30.
6
An unusual case of recurrent Guillain-Barré syndrome with normal cerebrospinal fluid protein levels: a case report.脑脊液蛋白水平正常的复发性吉兰-巴雷综合征罕见病例：一例报告
BMC Neurol. 2016 Sep 5;16(1):161. doi: 10.1186/s12883-016-0687-z.
7
Guillain-Barré syndrome with unilateral peripheral facial and bulbar palsy in a child: A case report.儿童吉兰-巴雷综合征伴单侧周围性面瘫和延髓麻痹：一例报告
SAGE Open Med Case Rep. 2019 Mar 21;7:2050313X19838750. doi: 10.1177/2050313X19838750. eCollection 2019.
8
Multiple cranial neuropathies without limb involvements: guillain-barre syndrome variant?无肢体受累的多发性颅神经病变：格林-巴利综合征变异型？
Ann Rehabil Med. 2013 Oct;37(5):740-4. doi: 10.5535/arm.2013.37.5.740. Epub 2013 Oct 29.
9
An Oculopharyngeal Subtype of Guillain-Barré Syndrome Sparing the Trochlear and Abducens Nerves.一种 Guillain-Barré 综合征的眼咽亚型，不累及滑车神经和展神经。
Intern Med. 2020 May 1;59(9):1215-1217. doi: 10.2169/internalmedicine.3395-19. Epub 2020 Feb 5.
10
[Pharyngeal-cervical-brachial syndrome: A rare form of Guillain-Barré syndrome with severe acute bulbar palsy].咽颈臂综合征：一种伴有严重急性球麻痹的罕见吉兰-巴雷综合征形式
Arch Pediatr. 2016 Feb;23(2):176-9. doi: 10.1016/j.arcped.2015.11.005. Epub 2015 Dec 14.
引用本文的文献
1
Co-occurrence of polyneuritis crainials and visual impairment: a case report and literature review.颅神经病和视力障碍并存：病例报告及文献复习。
Neurol Sci. 2023 May;44(5):1563-1574. doi: 10.1007/s10072-022-06580-0. Epub 2022 Dec 30.
2
Case Report: Acute Bulbar Palsy Plus Syndrome: A Guillain-Barré Syndrome Variant More Prone to Be a Subtype Than Overlap of Distinct Subtypes.病例报告：急性延髓麻痹加综合征：一种更倾向于成为吉兰-巴雷综合征亚型而非不同亚型重叠的变异型。
Front Neurol. 2020 Nov 24;11:566480. doi: 10.3389/fneur.2020.566480. eCollection 2020.
3
An Oculopharyngeal Subtype of Guillain-Barré Syndrome Sparing the Trochlear and Abducens Nerves.一种 Guillain-Barré 综合征的眼咽亚型，不累及滑车神经和展神经。
Intern Med. 2020 May 1;59(9):1215-1217. doi: 10.2169/internalmedicine.3395-19. Epub 2020 Feb 5.
4
Polyneuritis cranialis: oculopharyngeal subtype of Guillain-Barré syndrome.颅神经炎：吉兰-巴雷综合征的眼咽型
J Neurol. 2015 Sep;262(9):2001-12. doi: 10.1007/s00415-015-7678-7. Epub 2015 Feb 26.
本文引用的文献
1
Multiple cranial neuropathy variant of Guillain-Barré syndrome: a case series.格林-巴利综合征多种颅神经病型：病例系列研究。
Muscle Nerve. 2011 Aug;44(2):252-7. doi: 10.1002/mus.22043. Epub 2011 Jun 22.
2
Multiple cranial nerve palsies: analysis of 979 cases.多发性颅神经麻痹：979例分析
Arch Neurol. 2005 Nov;62(11):1714-7. doi: 10.1001/archneur.62.11.1714.
3
Acute multiple cranial neuropathy: a variant of Guillain-Barré syndrome?急性多发性颅神经病变：格林-巴利综合征的一种变异型？
Muscle Nerve. 2004 Oct;30(4):433-6. doi: 10.1002/mus.20136.
4
RELATION OF MULTIPLE CRANIAL NERVE DYSFUNCTION TO THE GUILLAIN-BARR'E SYNDROME.多发性颅神经功能障碍与吉兰-巴雷综合征的关系
J Neurol Neurosurg Psychiatry. 1965 Apr;28(2):115-20. doi: 10.1136/jnnp.28.2.115.
5
An unusual variant of acute idiopathic polyneuritis (syndrome of ophthalmoplegia, ataxia and areflexia).急性特发性多神经炎的一种不寻常变体（眼肌麻痹、共济失调和无反射综合征）。
N Engl J Med. 1956 Jul 12;255(2):57-65. doi: 10.1056/NEJM195607122550201.
6
Plasmapheresis and acute Guillain-Barré syndrome. The Guillain-Barré syndrome Study Group.血浆置换与急性吉兰-巴雷综合征。吉兰-巴雷综合征研究组。
Neurology. 1985 Aug;35(8):1096-104.
7
Unusual clinical variants and signs in Guillain-Barré syndrome.吉兰-巴雷综合征的不寻常临床变异型和体征
Arch Neurol. 1986 Nov;43(11):1150-2. doi: 10.1001/archneur.1986.00520110044012.
Zotero 插件