Luitel Prajjwol, Neupane Nischal, Adhikari Niranjan, Paudel Sujan, Gajurel Bikram Prasad, Karn Ragesh, Rajbhandari Reema, Gautam Niraj, Shrestha Ashish, Ojha Rajeev
Maharajgunj Medical Campus Tribhuvan University Institute of Medicine Kathmandu Nepal.
Department of Neurology Tribhuvan University Institute of Medicine Kathmandu Nepal.
Clin Case Rep. 2021 Aug 30;9(9):e04767. doi: 10.1002/ccr3.4767. eCollection 2021 Sep.
Apart from the usual differentials of transverse myelitis and cord compression, paraparetic GBS should be considered when sudden, flaccid paralysis of the lower limbs occurs, as prompt diagnosis and management can minimize sequel and unnecessary procedures. We do report a case wherein we managed a similar situation without the use of an immunomodulatory therapy.
除了横贯性脊髓炎和脊髓压迫症的常见鉴别诊断外,当下肢突然出现弛缓性瘫痪时,应考虑吉兰 - 巴雷综合征(GBS)型截瘫,因为及时诊断和处理可将后遗症及不必要的程序降至最低。我们确实报告了一例我们在未使用免疫调节治疗的情况下处理类似情况的病例。