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多次脊柱手术后吉兰-巴雷综合征急性发作:一例罕见病例报告

Acute Onset of Guillain-Barré Syndrome after Multiple Spine Surgeries: A Rare Case Report.

作者信息

Komlakh Khalil, Manafi-Rasi Alireza, Mirbolook Ahmadreza, Baroutkoub Mojtaba, Salimi Sohrab, Athari MirBahador

机构信息

Department of Neurosurgery, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Orthopedic Surgery, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Adv Biomed Res. 2022 Dec 26;11:113. doi: 10.4103/abr.abr_311_21. eCollection 2022.

Abstract

is an autoimmune disorder presented by ascending paralysis and areflexia. The condition has been reported after many infections, but Guillain-Barré syndrome after spine surgery is rare. We, herein, present a case of Guillain-Barré syndrome after multiple spine surgeries for degenerative lumbar scoliosis. A 60-year-old woman with degenerative scoliosis underwent surgery for the third time and developed Guillain-Barré syndrome 3 weeks after the final operation. The patient received intravenous immune globulin therapy and needed mechanical ventilation and intensive care. She was discharged in good condition after 5 weeks.

摘要

是一种以进行性麻痹和反射消失为表现的自身免疫性疾病。许多感染后都曾报告过这种病症,但脊柱手术后发生格林-巴利综合征很罕见。在此,我们报告一例因退行性腰椎侧弯接受多次脊柱手术后发生格林-巴利综合征的病例。一名患有退行性侧弯的60岁女性接受了第三次手术,并在最后一次手术后3周出现了格林-巴利综合征。患者接受了静脉注射免疫球蛋白治疗,需要机械通气和重症监护。5周后她康复出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b26f/9926031/c69520a8abc3/ABR-11-113-g001.jpg

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