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电生理检查在格林-巴利综合征的诊断方面相当重要,它不仅能客观反映病情的程度,还能为推测病理组织学变化提供依据。本文观察2例复发型格林-巴利综合征(Recurrent Guillain-barré Syndrome,RGBS)病人每次发作时的电生理变化,结果报告如下。 临床资料 一、病例报告 例1 男、29岁。1994年4月因“上感”4天后出现四肢无力及末端麻木,6天内症状达到高峰。查体:四肢肌力4级,肌张力及腱反射对称性减低,浅痛觉正常。病后13天CSF蛋白0.45g/L,自细胞0。病后14天电生理检查,经激素治疗2周后症状、体征消失。同年11月因“上感”7天后,再次出现四肢麻木、无力、行走困难10天入院。病后18天达到高峰。查体:四肢肌力3
Electrophysiological examination in the diagnosis of Guillain-Barre syndrome is very important, it not only objectively reflect the extent of the disease, but also provide a basis for the speculation of histopathological changes. This article observed two cases of recurrent Guillain-Barré Syndrome (RGBS) patients with each episode of electrophysiological changes, the results are reported as follows. Clinical data A case report 1 male, 29 years old. In April 1994, the symptom peaked in 6 days due to weakness of the limbs and end numbness after 4 days of “feeling of being”. Physical examination: limb muscle strength 4, muscle tension and reduce the symmetry of tendon reflexes, normal pain, shallow pain. 13 days after illness CSF protein 0.45g / L, since the cells 0. After 14 days of illness electrophysiological examination, after 2 weeks of hormone therapy, symptoms and signs disappeared. In the same year in November due to the “sense of” 7 days later, again numbness, weakness, difficulty walking 10 days admission. 18 days after the disease peaked. Physical examination: limb muscle strength 3