| Guillain-Barre 증후군의 Pharyngeal-Cervical-Brachial Variants |
| 김상윤, 김성민,유경호,권기한,이병철 |
| 한림대학교 신경과. |
| Pharyngeal-Cervical-Brachial Variants of Guillain-Barre Syndrome |
| Sang Yun Kim, M.D., Sung Min Kim, M.D., Kyung Ho Yu, M.D., Ki Han Kwon, M.D., Byung Chul Lee, M.D. |
| Department of Neurology, College of Medicine, Hallym University |
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| Abstract |
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Several clinical variants of Guillain-Barre syndrome(GBS) merit separate description because they simulate other diseases and because they may illuminate the pathophysioloy of the typical illness. Some limited regional forrns of the GBS and unusual focal signs or symptoms that resemble other illnesses are described. A number of patients will have prominent pharyngeal, facial, and neck-flexion weakness at the onset of GBS, which descends to involve the arms, and soon after. The legs. The unusual of distribution of weakness, presenation of leg reflexes, and unusual absence of paresthesias directs diagnostic attention toward myasthenia, botulism, or diphtheria. In a few such patients the illness halts when it has caused severe oropharyngeal. Neck. Shoulder, and proximal arm wealiness. Completely sparing power and reflexes in the legs. We report two cases of unusual clinical variant of GBS, so called pharyngeal-cervical-brachial variants who had bilateral ptosis. Marked oropharyngeal, neck, and shoulder weakness, and with areflexia in the arrns only. And normal sensation. Botulism or diphtheria and, less so, myasthenia, were initially considered diagnoses. The illness progressed to generalized typical GBS with respiratory failure in one patient. In the other patient. The illness halted without affecting power or reflexes in the legs, and electrophysiologic abnormalities were isolated to the face and the arms." |
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