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非典型格林-巴利综合征的诊治体会

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摘要 目的探讨非典型格林-巴利综合征(Guillain-Barre syndrome.GBS)的临床特点,减少误诊、误治。方法对我院2006年4月至2011年7月收治的非典型GBS误诊情况进行回顾性分析。结果本组首发症状为单侧周围性面瘫2例,四肢麻木2例,腰酸背痛2例,偏侧肢体力弱1例,四肢无力2例。误诊为面神经炎2例,脑血管病3例,腰椎间盘突出病2例,末肢神经炎2例,误诊时间为2~20d,均行肌电图检查,9例脑脊液检查显示蛋白-细胞分离,结合临床表现明确诊断为GBS。结论 GBS起病多样,对于临床症状不典型者,应及时进行脑脊液和肌电图检查。尽早明确诊断和治疗。
作者 马晓丽
出处 《中国实用医药》 2012年第5期179-180,共2页 China Practical Medicine
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  • 1Bosnjak R, Makovec M. Neurophysiological monitoring of SI root function during microsurgical posterior discectomy using H-reflex and spinal nerve root potentials. Spine (Phila Pa 1976), 2010, 35 : 423-429.
  • 2Vucic S, Cairns KD, Black KR, et al. Neurophysiologic findings in early acute inflammatory demyelinafing polyradiculoneuropathy. Clin Neurophysiol, 2004, 115 : 2329-2335.
  • 3Olney RK, Anfinoff MJ. Electrodiagnostic features of the Guillain- Barre syndrome: the relative sensitivity of different techniques. Neurology, 1990, 40(3 Pt 1 ) : 471-475.
  • 4Gordon PH, Wilbourn AJ. Early electrodiagnostic findings in Guillain-Barre syndrome. Arch Neurol, 2001, 58: 913-917.
  • 5Albers J, Donofrio PD, McGonagle TK. Sequential electrodiagnostic abnormalities in acute inflammatory demyelinating polyradiculoneuropathy. Muscle Nerve,1985, 8 : 528-539.
  • 6Kiers L, Clouston P, Zuniga G, et al. Quantitative studies of F responses in Guillain-Barre syndrome and chronic inflammatory demyelinating polyneuropathy. Electroencephalogr Clin Neurophysiol, 1994, 93:255-264.
  • 7Hughes RA, Cornblath DR. Guillain-Barre 2005, 366: 1653-1666.
  • 8Kalita J, Misra UK, Das M. Neurophysiological criteria in the diagnosis of different clinical types of Guillain-Barre syndrome. J Neurol Nenrosurg Psychiatry, 2008, 79 : 289-293.
  • 9Visser LH, Schmitz PI, Meulstee J, et al. Prognostic factors of Guillain-Barre syndrome after intravenous immunoglobulin or plasma exchange. Dutch Guillain-Barre Study Group. Neurology, 1999, 53 : 598-604.
  • 10Petiot P. Electrophysiological diagnosis of inflammatory nenropathies. Rev Neurol (Paris), 2007, 163 Spec No 1: 3S36- 44.

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