Lombet C, Gérard V, Lemaire C
Service de Médecine physique et réadaptation, CHR Verviers, Belgique.
Rev Med Liege. 2021 Jul;76(7-8):608-613.
Bickerstaff brainstem encephalitis, Miller-Fisher syndrome and Guillain-Barré syndrome are related conditions and are now considered as part of a continuous clinical spectrum. In this report, we describe the case of a 24-year-old female patient showing paraparesis rapidly evolving into flaccid tetraparesis, areflexia, ophthalmoplegia, drowsiness, cognitive impairment and memory loss leading to the diagnosis of Bickerstaff brainstem encephalitis and Guillain-Barré syndrome overlap. With this example, we emphasize the importance of interdisciplinary rehabilitation care. Indeed such a combination of peripheral and central neurological deficits requests a multimodal approach. We show that early care benefits the autonomy and the quality of life of such patients.
比克斯特费尔德脑干脑炎、米勒-费希尔综合征和吉兰-巴雷综合征是相关病症,目前被认为是连续临床谱的一部分。在本报告中,我们描述了一名24岁女性患者的病例,该患者表现为双下肢轻瘫迅速发展为弛缓性四肢瘫、无反射、眼肌麻痹、嗜睡、认知障碍和记忆丧失,最终诊断为比克斯特费尔德脑干脑炎与吉兰-巴雷综合征重叠。通过这个例子,我们强调了跨学科康复护理的重要性。确实,这种周围和中枢神经功能缺损的组合需要多模式方法。我们表明,早期护理有利于此类患者的自主性和生活质量。