Aden Anneke, Stegemann Thomas, Richterich Andreas
University Medical Center Hamburg-Eppendorf Dep. of Child and Adolescent Psychiatry, Hamburg, Germany.
Ment Illn. 2011 Feb 22;3(1):e1. doi: 10.4081/mi.2011.e1.
Eating disorders do not typically occur in conjunction with specific neurological disorders. Only very few cases of Guillain-Barré-Syndrome (GBS) associated with eating disorders have been reported. The objective of this paper is to describe and discuss a case of anorexia nervosa and concomittant chronic GBS. We report on a course of medical management for a 15 year old female patient, who presented with acute neurological syndrome (GBS) which was followed by the onset of a severe eating disorder. The patient was diagnosed to have two different entities, with the association between the two remaining unclear. The mainstay of management was focused on the eating disorder. Using an integrative psychiatric therapy a significant improvement of the eating disorder was achieved. The patient's body weight was stabilised and the locomotor deficits improved. Though a significant somatic disorder was evident, it proved to be advantageous to primarily focus on the eating disorder, until it was under control. The possible correlations between the two distinct disorders are discussed.
饮食失调通常不会与特定的神经系统疾病同时发生。仅有极少数吉兰-巴雷综合征（GBS）与饮食失调相关的病例被报道。本文的目的是描述和讨论一例神经性厌食症合并慢性GBS的病例。我们报告了一名15岁女性患者的治疗过程，该患者先是出现急性神经综合征（GBS），随后又出现了严重的饮食失调。患者被诊断患有两种不同的疾病，二者之间的关联尚不清楚。治疗的主要重点是饮食失调。通过综合精神治疗，饮食失调有了显著改善。患者的体重稳定下来，运动功能障碍也有所改善。尽管明显存在严重的躯体疾病，但事实证明，在饮食失调得到控制之前，主要关注饮食失调是有益的。文中讨论了这两种不同疾病之间可能的相关性。
