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49岁女性出现酷似吉兰-巴雷综合征的严重低钾血症异常表现:一例罕见病例报告。

49-years-old women with unusual presentation of severe hypokalemia mimicking Guillain-Barré Syndrome: A rare case report.

作者信息

Mohamed Mohamed Mukhtar, Ali Ibrahim Hussein, Ağca Mehmet Erdem, Hassan Mohamed Sheikh, Osman Mohamed Farah, Ali Irshad Ibrahim, Yusuf Mohamud Mohamed Farah

机构信息

Mogadishu Somali Turkey Research and Training Hospital, Mogadishu, Somalia.

出版信息

Ann Med Surg (Lond). 2022 Jun 18;79:104021. doi: 10.1016/j.amsu.2022.104021. eCollection 2022 Jul.

Abstract

Acute neuromuscular weakness with associated subsequent developing respiratory failure is common neurological emergency in all emergency departments worldwide. Guillain-Barré Syndrome (GBS) remains the most common cause of acute ascending quadriplegia presents with ascending muscle weakness associated with paresthesia and loss of deep tendon reflexes and usually preceeded by diarrheal illness or upper airway infection. Here we report 49-year-old female presented with rapidly progressing, ascending quadraparesis for 48 hours duration with subsequently complicated by respiratory paralysis due to severe hypokalemia.

摘要

急性神经肌肉无力并伴有随后发生的呼吸衰竭是全球所有急诊科常见的神经急症。吉兰 - 巴雷综合征(GBS)仍然是急性上升性四肢瘫痪最常见的原因,表现为上升性肌无力,伴有感觉异常和深部腱反射消失,通常在腹泻病或上呼吸道感染之后出现。在此,我们报告一名49岁女性,出现快速进展的上升性四肢轻瘫达48小时,随后因严重低钾血症并发呼吸麻痹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43a1/9289430/f3902b7d29e3/gr1.jpg

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