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节段性脱髓鞘导致的伴有四肢瘫和运动性颅神经完全麻痹的暴发性格林-巴利综合征。

Fulminant Guillain-Barré syndrome with quadriplegia and total paresis of motor cranial nerves as a result of segmental demyelination.

作者信息

Tan A K, Chee M W

机构信息

Department of Neurology, Tan Tock Seng Hospital, Singapore.

出版信息

J Neurol Sci. 1995 Dec;134(1-2):203-6. doi: 10.1016/0022-510x(95)00235-8.

DOI:10.1016/0022-510x(95)00235-8
PMID:8747867
Abstract

Guillain-Barré syndrome (GBS) is a subacute demyelinating polyneuropathy with a monophasic course. Rarely, demyelination may be so severe as to produce electrically unexcitable nerves. We present a patient with fulminant onset of symptoms who was quadriplegic and had bilateral involvement of all motor cranial nerves. Serial EMGs indicated that segmental demyelination was responsible for these clinical findings.

摘要

吉兰-巴雷综合征(GBS)是一种具有单相病程的亚急性脱髓鞘性多发性神经病。极少数情况下,脱髓鞘可能非常严重,以至于产生电不可兴奋的神经。我们报告一例起病急骤、四肢瘫痪且所有运动性颅神经双侧受累的患者。系列肌电图显示节段性脱髓鞘是这些临床表现的原因。

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