摘要
目的:进一步肯定复发性格林-巴利综合征(RGBS)的临床特征。方法:回顾性分析11例 RGBS 患者的临床和实验室资料。结果:发现 RGBS 大部分有明确的前驱感染史,临床症状迅速达高峰,发作期脑脊液蛋白增高,有蛋白-细胞分离现象.治疗后症状可基本恢复。每次发作完全符合急性格林-巴利综合征(GBS)的表现,发作间隔及发作次数均无规律,每次发作有相似的临床表现,发作间期脑脊液蛋白正常。结论:RGBS 应属多次发作的典型的急性 GBS,每次发作之间无明显相关,与慢性炎症性脱髓鞘性多神经病(CIDP)不同,诊断时需认真鉴别。
Objective:To further define the features of recurrent Guillain-Barre syndrome (RGBS).Method:A retrospective analysis of 11 cases of RGBS was presented.Results:The results showed that RGBS usually had antecedent infection,the rapid onset of symptoms with subsequent complete or near complete recovery,increasing protein in the cerebral spinal fluid during recurrent and normal in remission.There were similar features with each episode.Conclusion RGBS consists of multiple episodes of typical acute Guillain-Barre(GBS).These clinical presentation were differ- ent from that of chronic inflammatory demyelinating polyneuropathy(CIDP).
出处
《卒中与神经疾病》
1998年第4期196-198,共3页
Stroke and Nervous Diseases
关键词
G-B综合征
复发
脑脊液
诊断
Guillain-Barre syndrome
Recurrence
Cerebral spinal fluid