Dal Verme Agustín, Acosta Paula, Margan Mercedes, Pagnini Cecilia, Dellepiane Eugenia, Peralta Christian
Servicio de Clínica Médica, Federación Círculo Católico de Obreros, Sanatorio San José, Buenos Aires, Argentina. E-mail:
Medicina (B Aires). 2015;75(3):178-80.
Guillain-Barré syndrome is an acute demyelinating disease which presents in a classic form with muscular weakness and the lack of reflexes. There are multiple variations and atypical forms of the disease, being facial diplegia with paresthesia one of them. Also, the absence of reflexes in this syndrome is typical but not constant, since 10% of patients present reflexes. We describe a case of atypical presentation with bilateral facial palsy, paresthesia, brisk reflexes and weakness in the lower limbs in a 33 year old woman.
格林-巴利综合征是一种急性脱髓鞘疾病,其典型表现为肌肉无力和反射消失。该疾病有多种变异型和非典型形式,其中之一是伴有感觉异常的双侧面瘫。此外,此综合征中反射消失是典型表现,但并非始终如此,因为10%的患者存在反射。我们描述了一例33岁女性的非典型表现病例,其症状为双侧面瘫、感觉异常、反射亢进以及下肢无力。