格林—巴利二氏综合征(GBS)颅神经-脊神经型比较常见。本例首次发病为颅神经—脊神经型,复发为脊髓—周围型,此类型比较少见,在我科住院病例中属首例,现报告如下。患者男性,30岁。于1990年10月28日较急起的四肢麻木、无力,病情逐渐加重,出现双睑闭不合、吞咽困难及呼吸困难,由当地医院10月31日转来我院。病前三周曾有发热、腹泻史,无服药物及无农药接触史。检查: Guillain-Barre syndrome (GBS) cranial nerve - spinal nerve is more common. This case of the first incidence of cranial nerve - spinal nerve type, recurrence of the spinal cord - peripheral type, this type is relatively rare, in our department is the first case of inpatient, are as follows. Male patient, 30 years old. On October 28, 1990, the more acute limb numbness, weakness, the condition gradually aggravated, appeared double eyelid closed, dysphagia and dyspnea, from the local hospital on October 31 transferred to our hospital. Three weeks before the illness had fever, history of diarrhea, drug-free and no history of exposure to pesticides. an examination: