一例罕见的无蛋白细胞分离的复发性吉兰-巴雷综合征病例。
A Rare case of recurrent Guillain-Barré syndrome without albuminocytological dissociation.
作者信息
Yelam Anudeep, Nagarajan Elanagan, Govindarajan Raghav, Bollu Pradeep C
机构信息
Department of Neurology, University of Missouri Health Care, Columbia, Missouri, USA.
Department of Neurology, Howard Hughes Medical Institute-University of Missouri Columbia School of Medicine, Columbia, Missouri, USA.
出版信息
BMJ Case Rep. 2018 Oct 16;2018:bcr-2018-226572. doi: 10.1136/bcr-2018-226572.
Abstract
Guillain-Barré syndrome (GBS) is an immune-mediated polyneuropathy, often preceded by an illness. It is a self-limiting illness in most of the cases, but recurrence is rare and can be seen in about 1%-6% of patients. GBS is characterised by progressive, symmetrical, proximal and distal weakness. Areflexia and sensory disturbances are also common. Patients with GBS usually have albuminocytological dissociation on cerebrospinal fluid (CSF) analysis. This is a case of a 69-year-old woman with recurrent GBS and normal CSF findings.
摘要
格林-巴利综合征（GBS）是一种免疫介导的多发性神经病，通常在发病前有前驱疾病。在大多数情况下，它是一种自限性疾病，但复发很少见，约1%-6%的患者会出现复发。GBS的特征是进行性、对称性、近端和远端肌无力。无反射和感觉障碍也很常见。GBS患者脑脊液（CSF）分析通常会出现蛋白细胞分离现象。这是一例69岁复发性GBS且脑脊液检查结果正常的女性病例。
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