论文部分内容阅读
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 confirm the clinical features of recurrent Guillain-Barre syndrome (RGBS). Methods: The clinical and laboratory data of 11 patients with RGBS were retrospectively analyzed. Results: Most of the patients with RGBS had a clear history of propylae infection, the clinical symptoms reached their peak rapidly, and the protein in cerebrospinal fluid was increased during the attack, and the protein-cell separation phenomenon was found. The symptoms recovered after treatment. Each episode fully met the performance of acute Guillain-Barre syndrome (GBS), seizure interval and the number of attacks were irregular, each attack has a similar clinical manifestations, cerebrospinal fluid protein during the interictal normal. CONCLUSIONS: RGBS should be a typical acute GBS with multiple episodes. There is no significant correlation between each episode. Unlike chronic inflammatory demyelinating polyneuropathy (CIDP), RGBS should be carefully identified at diagnosis.