• 제목/요약/키워드: Sensory Guillain-Barre syndrome

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A Case of Guillain Barre Syndrome

  • 백선호
    • 대한간호
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    • 제6권5호통권31호
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    • pp.33-41
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    • 1967
  • Guillain Barre Syndrome, rather rarely occuring nerve disease and its causes are usually obscure, was seriously studied through a patient admitted recently to our hospital. Bilateral ascending paralysis on both extremities without sensory loss and the exc

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Guillain-Barre Syndrome으로 진단받은 환자의 비증(痺證) 치험 2례 (Two Cases Reports of Korean Traditional Medical Therapy for Patients with Bi-symptom Diagnosed Guillain-Barre Syndrome)

  • 남효익;김회영;김지원;최은영
    • 대한한방내과학회지
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    • 제27권3호
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    • pp.737-744
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    • 2006
  • Guillain-Barre Syndrome is a disorder caused by nerve inflammation. The inflammation damages portions of the nerve cells, resulting in pain, numbness, muscle weakness or paralysis and sensory loss. The damage can also leads to denervation (killing the axon part of the nerve cell), which stops nerve function entirely. Without the axon, messages cannot be transferred from one nerve cell to another, but the causes and mechanism of this syndrome are unknown. This is a clinical report about two patients diagnosed with Guillain-Barre Syndrome. The patients, a 54-year-old woman and a 37-years-old man, had pain, and weakness in both legs and arms. After about 4 weeks of Korean medicine and acupuncture treatment, most of their symptoms improved. Therefore, Korean traditional therapy has potential for treatment of Guillain-Barre Syndrome.

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Guiillain-Barre 증후군 환자의 치험 1례 (A case report of Guillain-Barre syndrome)

  • 김기훈;신동길;이진용;조백건
    • 대한한방소아과학회지
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    • 제17권2호
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    • pp.199-211
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    • 2003
  • 저자는 경희대학교(慶熙大學校) 한의과대학(韓醫科大學) 부속한방(附屬韓方) 병원(病院)에 내원한 Guillain-Barre syndrome 환자를 한약(韓藥)과 간접염(間接炎) 및 침치료(鍼治療를) 사용하여 환자의 증상이 호전되었음을 확인하였으므로 이에 문헌고찰과 함께 보고하는 바이다.

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항 GD1b IgG 단일 항체와 관련된 길랭-바레 증후군으로 발현된 편평상피세포 폐암 증례 (A Case of Squamous Cell Lung Cancer Representing as Guillain-Barre Syndrome Associated with Monospecific Anti-GD1b IgG)

  • 김예신;김성헌
    • Annals of Clinical Neurophysiology
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    • 제17권1호
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    • pp.31-34
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    • 2015
  • We report a case with squamous cell lung cancer with concomitant Guillain-Barre syndrome (GBS) as a paraneoplastic syndrome. A 67-year-old patient who was previously diagnosed as metastatic squamous cell lung cancer developed mild symmetrical weakness, paresthesia and sensory ataxia. Nerve conduction study showed sensorimotor polyneuropathy. Analysis of cerebrospinal fluid showed high tilter for monospecific anti-GD1b IgG antibody without onconeuronal antibodies. After treatment with intravenous immunoglobulin, the patient's symptoms improved.

요추부 최소침습적 시술 후 길랑-바레 증후군: 증례보고 (Guillain-Barre Syndrome after Minimally Invasive Lumbar Procedure: A Case Report)

  • 이봉연;윤서라;류수라;최유리
    • 대한근전도전기진단의학회지
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    • 제20권2호
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    • pp.159-163
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    • 2018
  • Guillain-Barre syndrome (GBS) after trauma and general orthopedic surgery is rare. A 74-year-old woman showed ascending paralysis symmetrically, dysarthria, dysphagia and areflexia on 14 days after minimally invasive endoscopic thermoannuloplasty on L4-5 level. Brain and lumbar magnetic resonance imaging demonstrate no abnormal findings. The electrodiagnostic study showed prolonged distal motor, sensory latencies and F-wave latencies and reduced amplitude of compound muscle action potential in nerves of upper and lower extremities. In the cerebrospinal fluid (CSF) examination, total protein and IgG were increased. We diagnosed Guillain-Barre Syndrome based on clinical features, electrodiagnostic study and CSF examination and the patient improved symptoms after immunoglobulin injection and rehabilitation. Because the occurrence of GBS after minimally invasive procedure has not been reported, we report a case of GBS after minimally invasive procedure with literature review.

쯔쯔가무시병에 의한 길랑-바레 증후군의 신경병성 통증 (Neuropathic Pain in Guillain-Barre Syndrome Associated with Scrub Typhus)

  • 강새롬;이숙정;최은석
    • Clinical Pain
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    • 제18권2호
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    • pp.111-114
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    • 2019
  • Guillain-Barre syndrome (GBS) is usually characterized by acute areflexic ascending paralysis with minimal sensory involvement. Only a few cases of GBS associated with scrub typhus have been reported. Previous case reports focused on the laboratory findings, pathogenesis, and clinical manifestation. Unlike the previous case, neuropathic pain was a prominent symptom of GBS in our case. We report scrub-typhus-related GBS with a detailed description of the clinical manifestations, especially neuropathic pain, along with results of serial follow-up electrodiagnostic studies.

감각성 길랑바레 증후군 1예 (A Case of Sensory Guillain-Barre syndrome)

  • 최용석;김정미;한영수;차경만;한정호;조은경;김두응
    • Annals of Clinical Neurophysiology
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    • 제6권1호
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    • pp.57-60
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    • 2004
  • The sixty two-year-old woman was admitted with facial diplegia and ataxic gait. Neurological examination revealed areflexia and sensory ataxia with decreased sensation of position and vibration in both lower extremities. Electrophysiologic study suggest motor dominant demyelinating polyneuropathy and bilateral facial neuropathy. CSF study revealed no cells and increased proteins. After intravenous immunoglobulin therapy, sensory ataxia and electrophysiological study had markedly improved for 3 months.

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GM1 항체와 연관된 급성 운동 전도차단 신경병증 1예 (A Case of Acute Motor Conduction Block Neuropathy Associated with Anti-GM1 Antibody)

  • 박강민;배종석;김상진;이정녀;김종국
    • Annals of Clinical Neurophysiology
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    • 제9권2호
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    • pp.89-92
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    • 2007
  • A 33-year-old women developed weakness in all limbs 3 days prior to admission. Motor examination showed decreased strength in all limbs, but sensory examination was normal. Deep tendon reflexes were areflexia. Electrophysiological examination showed conduction blocks with nearly normal conduction velocities and terminal latencies in motor nerves and normal amplitudes and velocities in sensory nerves. Her serum was positive for IgG antibodies to gangliosides GM1, GD1b, and galactocerebroside. Acute motor conduction block neuropathy may be another variant of Guillain-Barre syndrome.

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폐암절제 후 발생한 기엥-바레 증후군 (Guillain-Barre Syndrome After Resection of Lung Cancer)

  • Hyung-Ho Choi;Bo-Young Kim;Bong-Suk Oh;Hong-Joo Seo;Young-Hyuk Lim;Jeong-Jung Kim
    • Journal of Chest Surgery
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    • 제35권11호
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    • pp.835-838
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    • 2002
  • 편평상피 세포암으로 우측 폐 상엽 절제술을 시행한 68세 남자 환자에서 나타난 기엥바레 증후군에 대하여 보고하고자 한다. 환자는 수술 후 6일 째 갑작스럽고 양측성의 하지의 근력약화 및 호흡부전과 감각실조를 호소했다. 응급으로 기관내 삽관 후 인공환기기를 거치했다. 근력 약화 후 2일, 20일, 40일째 전기진단적 검사를 시행하였다. 운동신경전도장애가 현저하게 나타났다. 지속적인 운동말단신경잠시, 전도 시간의 분산, 부분적인 운동신경전도차단이 나타났으며 이와 같은 것들은 기엥바레 증후군의 진단적 특징이다. 보조적인 치료와 함께 정주적 면역 글로불린의 부가적인 사용을 시행하였으며 병세는 근력 약화 후 6주만에 회복되었다.

Concurrency of Guillain-Barre syndrome and acute transverse myelitis: a case report and review of literature

  • Tolunay, Orkun;Celik, Tamer;Celik, Umit;Komur, Mustafa;Tanyeli, Zeynep;Sonmezler, Abdurrahman
    • Clinical and Experimental Pediatrics
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    • 제59권sup1호
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    • pp.161-164
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    • 2016
  • Guillain-$Barr{\acute{e}}$ syndrome and acute transverse myelitis manifest as demyelinating diseases of the peripheral and central nervous system. Concurrency of these two disorders is rarely documented in literature. A 4-year-old girl presenting with cough, fever, and an impaired walking ability was admitted to hospital. She had no previous complaints in her medical history. A physical examination revealed lack of muscle strength of the lower extremities and deep tendon reflexes. MRI could not be carried out due to technical problems; therefore, both Guillain-$Barr{\acute{e}}$ syndrome and acute transverse myelitis were considered for the diagnosis. Intravenous immunoglobulin treatment was started as first line therapy. Because this treatment did not relieve the patient's symptoms, spinal MRI was carried out on the fourth day of admission and demyelinating areas were identified. Based on the new findings, the patient was diagnosed with acute transverse myelitis, and high dose intravenous methylprednisolone therapy was started. Electromyography findings were consistent with acute polyneuropathy affecting both motor and sensory fibers. Therefore, the patient was diagnosed with concurrency of Guillain-$Barr{\acute{e}}$ syndrome and acute transverse myelitis. Interestingly, while concurrency of these 2 disorders is rare, this association has been demonstrated in various recent publications. Progress in diagnostic tests (magnetic resonance imaging and electrophysiological examination studies) has enabled clinicians to establish the right diagnosis. The possibility of concurrent Guillain-$Barr{\acute{e}}$ syndrome and acute transverse myelitis should be considered if recovery takes longer than anticipated.