Piccolo Giovanni, Borutti Giuseppina, Franciotta Diego, Arbasino Carla, Dallocchio Carlo, Camana Claudia, Gola Giada, Egitto Maria Grazia
Funct Neurol. 2015 Jan-Mar;30(1):67-9.
Posterior reversible encephalopathy syndrome (PRES) is a rare occurrence in patients with Guillain-Barré syndrome (GBS). Two patients with neuroradiological evidence of PRES without central nervous system (CNS) symptoms were recently reported. We present the case of a GBS patient with minimal CNS symptoms and magnetic resonance imaging findings consistent with PRES. PRES in GBS might be an underestimated condition. It should be suspected in GBS patients in the presence of even mild CNS symptoms. A timely PRES diagnosis along with early correction of autonomic system dysfunction in GBS patients is recommended to prevent possible dangerous CNS complications.
后部可逆性脑病综合征（PRES）在吉兰-巴雷综合征（GBS）患者中很少见。最近有报道称，两名患者有PRES的神经影像学证据，但无中枢神经系统（CNS）症状。我们报告了一例GBS患者，其CNS症状轻微，磁共振成像结果与PRES一致。GBS中的PRES可能是一种未被充分认识的情况。即使GBS患者出现轻微的CNS症状，也应怀疑存在PRES。建议对GBS患者进行及时的PRES诊断，并尽早纠正自主神经系统功能障碍，以预防可能出现的危险CNS并发症。
