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医疗接诊时的麻木感：吉兰-巴雷综合征的非典型表现，伴有单侧感觉异常并迅速进展为延髓麻痹：一例报告

Numbness on the Medical Take: An Atypical Presentation of Guillain-Barre Syndrome With Unilateral Paraesthesia and Rapid Progression to Bulbar Palsy: A Case Report.

作者信息

Stanley J, Zhou Q

机构信息

Acute Medical Department University Hospital Bristol and Weston Bristol UK.

Bristol Medical School University of Bristol Bristol UK.

出版信息

Clin Case Rep. 2024 Dec 29;13(1):e9586. doi: 10.1002/ccr3.9586. eCollection 2025 Jan.

DOI:10.1002/ccr3.9586
PMID:39736918
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11682874/
Abstract

Guillain-Barré syndrome (GBS) is characterized classically by progressive and symmetrical motor weakness and areflexia. We describe a case of GBS with initially preserved reflexes and power, leading to delayed diagnosis, who latterly required urgent ventilator support and plasmapharesis to highlight the importance of considering atypical presentations of this common condition.

摘要

吉兰-巴雷综合征（GBS）的典型特征是进行性对称性肌无力和腱反射消失。我们描述了一例GBS患者，其最初腱反射和肌力正常，导致诊断延迟，该患者后来需要紧急呼吸机支持和血浆置换，以强调考虑这种常见疾病非典型表现的重要性。

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本文引用的文献

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Rare Sensory Ataxic Variant of Guillain-Barre Syndrome: A Case Report.吉兰-巴雷综合征罕见感觉性共济失调变异型：一例报告
Cureus. 2023 Jun 25;15(6):e40920. doi: 10.7759/cureus.40920. eCollection 2023 Jun.
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Axonal variants of Guillain-Barré syndrome: an update.吉兰-巴雷综合征的轴索性变异型：最新进展
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Guillain-Barré syndrome.格林-巴利综合征。
Lancet. 2016 Aug 13;388(10045):717-27. doi: 10.1016/S0140-6736(16)00339-1. Epub 2016 Mar 2.
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Neurology. 2013 Apr 30;80(18):1650-4. doi: 10.1212/WNL.0b013e3182904fcc. Epub 2013 Apr 10.
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Neurology. 2011 Mar 15;76(11):968-75. doi: 10.1212/WNL.0b013e3182104407.
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Pain in Guillain-Barre syndrome: a long-term follow-up study.格林-巴利综合征疼痛：一项长期随访研究。
Neurology. 2010 Oct 19;75(16):1439-47. doi: 10.1212/WNL.0b013e3181f88345. Epub 2010 Sep 22.