摘要
目的 探讨脊髓空洞症(SM)合并吉兰-巴雷综合征(GBS)的临床特点、影像学及实验室检查特征、诊断标准。方法 分析1例SM合并GBS临床资料。结果 患者肌电图(EMG)提示周围神经轴索损害,脑脊液(CSF)未出现“蛋白-细胞”分离现象,胸椎MRI示胸7-8椎体水平脊髓内异常信号,考虑SM。结论GBS脑脊液检查可能不出现“蛋白-细胞”分离现象;SM临床特点结合MRI即可确诊;两者的病因、发病机制均不同,为一合并症。
Objective To investigate the clinical features, imaging and laborary features, diagnostic criteria of syringomyelia complicated with Guillain-Barre syndrome.Methods Analysis of clinical datas in this paper and take the retrospective analysis with a syringomyelia complicated with Guillain-Barre syndrome. Results Electromyography in patients with hints of peripheral nerve axis cable damage, CSF did not appear protein cell separation phenomenon, thoracic MRI showed that in 7-8 vertebral levels in the spinal cord of abnormal signal considering syringomyelia. Conclusion Guillain-Barre syndrome cerebrospinal fluid examination may not show protein cell separation phenomenon;clinical characteristics and MRI results can diagnose syringomyelia;the etiology and pathogenesis of them remain unclear.
出处
《脑与神经疾病杂志》
2016年第4期206-210,共5页
Journal of Brain and Nervous Diseases
基金
河北省科技计划项目(152777226)
河北省医学科学研究重点课题计划(20150213)
关键词
吉兰-巴雷综合征
脊髓空洞症
肌电图
脑脊液
磁共振成像
Guillain-Barre syndrome
Syringomyelia
Electromyogram
Cerebrospinal fluid
Magnetic resonance imaging