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“吉兰-巴雷综合征”中的精神状态改变——一个值得注意的临床线索。

Altered mental status in "Guillain-Barré syndrome" -a noteworthy clinical clue.

机构信息

UCL Queen Square Institute of Neurology, London, UK.

Auckland District Health Board, Auckland, New Zealand.

出版信息

Ann Clin Transl Neurol. 2020 Dec;7(12):2489-2507. doi: 10.1002/acn3.51226. Epub 2020 Nov 2.

Abstract

Guillain-Barré syndrome (GBS) is widely regarded as a "pure" peripheral nervous system disorder. However, this simplistic interpretation belies the fact that central nervous system involvement, often manifesting as derangements in mental status can occur as a complication of the "pure" form of the disorder, as part of GBS variants, as well as in a number of mimic disorders. Despite being common in clinical practice, there is no guidance in the literature as to how to approach such scenarios. Herein, we detail our approach to these cases.

摘要

格林-巴利综合征(GBS)通常被认为是一种“纯粹的”周围神经系统疾病。然而,这种过于简单的解释掩盖了这样一个事实,即中枢神经系统受累,通常表现为精神状态紊乱,可作为该疾病“纯粹”形式的并发症、GBS 变异型的一部分,以及在许多类似疾病中出现。尽管在临床实践中很常见,但文献中并没有关于如何处理这些情况的指导。在此,我们详细介绍了我们对这些病例的处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff6/7732251/d3584ec250b0/ACN3-7-2489-g001.jpg

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