Kanter M E, Nori S L
Department of Physical Medicine and Rehabilitation, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467-2490, USA.
Arch Phys Med Rehabil. 1995 Sep;76(9):882-3. doi: 10.1016/s0003-9993(95)80557-5.
This report describes a clinical syndrome of a sensory variant of Guillain-Barré syndrome (GBS). A patient presented at our medical center with symptoms that began two weeks after she had had a normal childbirth. Symptoms included acute, rapidly progressive, and symmetrical sensory loss; areflexia; and mild nonprogressive weakness. Nerve conduction studies done at the time of her admission showed late response abnormalities consistent with GBS. Follow-up studies one week later were consistent with a predominantly sensory neuropathy with minimal motor deficits. Within a few months, both her sensory symptoms and motor weakness had markedly improved. Except for the predominance of sensory rather than motor deficits, these findings are consistent with those of GBS. The case for a sensory variant of GBS is further supported by autopsy findings as described by Dawson and associates.
本报告描述了吉兰 - 巴雷综合征(GBS)感觉变异型的一种临床综合征。一名患者在我院就诊,其症状在正常分娩两周后开始出现。症状包括急性、快速进展且对称的感觉丧失;腱反射消失;以及轻度非进展性无力。入院时进行的神经传导研究显示存在与GBS相符的迟发反应异常。一周后的随访研究结果符合以感觉神经病变为主且运动功能缺损轻微的情况。几个月内,她的感觉症状和运动无力均有明显改善。除了以感觉缺损而非运动缺损为主外,这些发现与GBS的情况相符。Dawson及其同事所描述的尸检结果进一步支持了GBS感觉变异型的病例。