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吉兰-巴雷综合征模拟脑死亡的临床体征。

Clinical signs of brain death simulated by Guillain-Barré syndrome.

作者信息

Martí-Massó J F, Suárez J, López de Munain A, Carrera N

机构信息

Servicio Neurología, Hospital Nuestra Señora Aránzazu, San Sebastian, Spain.

出版信息

J Neurol Sci. 1993 Dec 1;120(1):115-7. doi: 10.1016/0022-510x(93)90034-v.

DOI:10.1016/0022-510x(93)90034-v
PMID:8289072
Abstract

A 58-year-old woman with relapsing acute Guillain-Barré syndrome separated by long asymptomatic intervals presented clinical symptoms resembling those of brain death. She remained in this situation for 15 days and recovered with amnesia for this period. The amnesia was not explained either by metabolic encephalopathy or by sedative drugs. This case stresses the importance of the precise etiologic diagnosis of severe brain disease and the isoelectric EEG in brain death.

摘要

一名58岁复发性急性吉兰-巴雷综合征女性患者,症状缓解期较长且无症状,出现了类似脑死亡的临床症状。她处于这种状态持续了15天,之后恢复,但对这段时间存在失忆。失忆既不能用代谢性脑病解释,也不能用镇静药物解释。该病例强调了对严重脑部疾病进行精确病因诊断以及脑死亡时脑电图呈等电位的重要性。

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Clinical signs of brain death simulated by Guillain-Barré syndrome.吉兰-巴雷综合征模拟脑死亡的临床体征。
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引用本文的文献

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Long-term impact after fulminant Guillain-Barré syndrome, case report and literature review.暴发性吉兰-巴雷综合征的长期影响:病例报告及文献综述
Int Med Case Rep J. 2016 Nov 7;9:357-363. doi: 10.2147/IMCRJ.S112050. eCollection 2016.
2
A Case of Acute Motor Axonal Neuropathy Mimicking Brain Death and Review of the Literature.一例酷似脑死亡的急性运动轴索性神经病病例及文献复习
Front Neurol. 2016 Apr 26;7:63. doi: 10.3389/fneur.2016.00063. eCollection 2016.
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Difference in central and peripheral recovery in a patient with severe axonal motor neuropathy and central nervous system involvement and review of literature.
一名患有严重轴索性运动神经病且累及中枢神经系统的患者的中枢和外周恢复差异及文献综述
J Clin Neuromuscul Dis. 2013 Mar;14(3):110-3. doi: 10.1097/CND.0b013e3182852542.
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Fulminant inflammatory neuropathy mimicking cerebral death.酷似脑死亡的暴发性炎性神经病。
BMJ Case Rep. 2012 Jul 20;2012:bcr1020114906. doi: 10.1136/bcr-10-2011-4906.
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Fulminant acute inflammatory demyelinating polyradiculoneuropathy: case report and literature review.暴发性急性炎症性脱髓鞘性多发性神经根神经病:病例报告及文献复习
Neurocrit Care. 2004;1(4):469-73. doi: 10.1385/NCC:1:4:469.