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超乎寻常:一例具有独特特征的非典型吉兰-巴雷综合征病例

Beyond the Ordinary: An Atypical Guillain-Barré Syndrome Case With Unique Characteristics.

作者信息

Acuña-Rocha Victor D, González-Torres Luis A, Gómez-Hernández Claudia E, Martínez-Scweinfurth Ramon A

机构信息

Department of Internal Medicine, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, MEX.

Department of Neurology, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, MEX.

出版信息

Cureus. 2023 Aug 23;15(8):e44008. doi: 10.7759/cureus.44008. eCollection 2023 Aug.

Abstract

We present a patient with pharyngeal-cervical-brachial Guillain-Barré syndrome (PCB-GBS) that progressed to a severe state followed by a quick recovery after treatment. This unique clinical course has not been documented previously and provides a potentially invaluable description of a novel GBS variant. A 42-year-old man arrived at the emergency department with a 24-hour history of dysphagia, weakness in his right arm, and bilateral shoulder weakness. Nerve conduction velocity testing revealed bilateral sensory and motor polyneuropathy, leading to the diagnosis of GBS with the PCB variant. Timely diagnosis and plasmapheresis treatment contributed to a complete recovery of muscle strength and reflexes. In cases resembling ours, it is imperative to contemplate the existence of rare Guillain-Barré variants. This case underscores the necessity of recognizing and addressing rare Guillain-Barré variants in clinical settings with similar presentations.

摘要

我们 我们报告了一例咽-颈-臂型吉兰-巴雷综合征(PCB-GBS)患者,该患者病情进展至严重状态,经治疗后迅速康复。这种独特的临床病程此前未见报道,为一种新型吉兰-巴雷综合征变体提供了潜在的宝贵描述。一名42岁男性因吞咽困难、右臂无力和双侧肩部无力24小时前来急诊科就诊。神经传导速度测试显示双侧感觉和运动性多发性神经病,诊断为PCB变体的吉兰-巴雷综合征。及时诊断和血浆置换治疗使肌肉力量和反射完全恢复。在类似我们的病例中,必须考虑罕见吉兰-巴雷综合征变体的存在。该病例强调了在具有相似表现的临床环境中识别和处理罕见吉兰-巴雷综合征变体的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eefa/10517181/32fdf3d8e62d/cureus-0015-00000044008-i01.jpg

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