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yan - jing - bi bian yi xing ji lan - ba lei zong he zheng 1 li bao dao ji wen xian fu xi
Pages: 119-120
Year: Issue:  12
Journal: Chinese Journal of Practical Nervous Diseases

Abstract: 目的 探讨咽-颈-臂(pharyngeal-cervical-brachial,PCB) 变异型吉兰-巴雷综合征(GBS) 的临床特点和诊断.方法 分析我院收入1例PCB变异型GBS患者的临床表现、辅助检查结果和临床治疗效果.结果 PCB变异型GBS临床表现口咽肌、颈部、肩部、双上肢无力,双下肢不受累或轻度受累.本例患者腰穿提示明显蛋白-细胞分离,给予静滴免疫球蛋白和甲强龙冲击治疗后症状明显好转.结论 PCB是GBS少见的变异型,极易出现误诊或漏诊,临床表现为咽-颈-臂肌无力,而下肢不受累或轻度受累的患者,应考虑PCB的可能,可结合脑脊液、电生理检查及早作出诊断和治疗.
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