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微创经椎间孔腰椎椎体间融合术后格林-巴利综合征:一例报告

Guillain-Barre Syndrome After Minimally Invasive Transforaminal Interbody Fusion: A Case Report.

作者信息

Abode-Iyamah Kingsley, Bohnen Angela M

机构信息

Neurosurgery, Mayo Clinic, Jacksonville, USA.

出版信息

Cureus. 2019 Nov 23;11(11):e6222. doi: 10.7759/cureus.6222.

Abstract

Guillain-Barre syndrome (GBS) is an autoimmune disorder in which an individual's immune system attacks the peripheral nerve myelin. Although rare, but serious, the syndrome typically starts with numbness, tingling, or weakness in the lower extremities and progresses in an ascending fashion. Severe weakness can transmit into paralysis and respiratory compromise. Although rare, GBS has been reported as a complication of multiple surgeries including orthopedic, cardiovascular, transplant, and general surgeries. To our knowledge, we here present the first case report of GBS after minimally invasive transforaminal interbody fusion. Furthermore, we highlight the importance of understanding the presenting symptoms and identifying proper examination findings, particularly in the setting of confounding factors, for prompt diagnosis, treatment, and reduction of morbidity.

摘要

吉兰-巴雷综合征(GBS)是一种自身免疫性疾病,个体的免疫系统会攻击周围神经髓鞘。该综合征虽然罕见但很严重,通常始于下肢麻木、刺痛或无力,并呈上行性发展。严重的无力可发展为瘫痪和呼吸功能不全。尽管罕见,但GBS已被报道为包括骨科、心血管、移植和普通外科手术在内的多种手术的并发症。据我们所知,我们在此呈现首例微创经椎间孔椎间融合术后发生GBS的病例报告。此外,我们强调了理解临床表现和识别正确检查结果的重要性,特别是在存在混杂因素的情况下,以便及时诊断、治疗并降低发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/762a/6929252/1c830387041e/cureus-0011-00000006222-i01.jpg

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