A Case with Bibrachial Variant of Guillain-Barré Syndrome
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The bibrachial variant of Guillain-Barré syndrome (GBS) is characterized by rapidly progressive and predominantweakness of both upper extremities with hyporeflexia or areflexia. Because the bibracial variantis rare, the pathomechanism and disease course has not been clarified. We report a 42-year-old man withrapidly progressive weakness of both arms. His electrophysiological study showed partial conductionblocks of motor nerves normalized without development of excessive temporal dispersion within 3 weeks. This case suggests that the main pathophysiological mechanism is reversible conduction block and it maybe in the continuous spectrum of axonal motor GBS subtype.
Abstract
The bibrachial variant of Guillain-Barré syndrome (GBS) is characterized by rapidly progressive and predominantweakness of both upper extremities with hyporeflexia or areflexia. Because the bibracial variantis rare, the pathomechanism and disease course has not been clarified. We report a 42-year-old man withrapidly progressive weakness of both arms. His electrophysiological study showed partial conductionblocks of motor nerves normalized without development of excessive temporal dispersion within 3 weeks. This case suggests that the main pathophysiological mechanism is reversible conduction block and it maybe in the continuous spectrum of axonal motor GBS subtype.
참고문헌 (10)
- Ropper AH, "Unusual clinical variants and signs in Guillain-Barré syndrome", Arch Neurol, 43, pp.1150~1152 (1986)
- AAEM Quality Assurance Committee, "Literature review of the usefulness of repetitive nerve stimulation and single fiber EMG in the electrodiagnostic evaluation of patients with suspected myasthenia gravis or Lambert-Eaton myasthenic syndrome", Muscle Nerve, 24, pp.1239~1247 (2001)
- Wakerley BR, "Pharyngeal-cervical-brachial variant of Guillain-Barré syndrome", J Neurol Neurosurg Psychiatry, 85, pp.339~344 (2014)
- Arai M, "Axonal pharyngeal-cervicalbrachial variant of Guillain-Barré syndrome without anti-GT1a IgG antibody", Muscle Nerve, 28, pp.246~250 (2003)
- Capasso M, "Reversible conduction failure in pharyngeal-cervicalbrachial variant of Guillain-Barré syndrome", Muscle Nerve, 42, pp.608~612 (2010)
- Gürsoy AE, "Reversible conduction failure in overlap of Miller Fisher syndrome and pharyngeal-cervicalbrachial variant of Guillain-Barré syndrome in the spectrum of nodo-paranodopathies", J Clin Neurosci, 21, pp.1269~1271 (2014)
- Nagashima T, "Continuous spectrum of pharyngeal-cervical-brachial variant of Guillain-Barré syndrome", Arch Neurol, 64, pp.1519~1523 (2007)
- Kuwabara S, "IgG anti-GM1 antibody is associated with reversible conduction failure and axonal degeneration in Guillain-Barré syndrome", Ann Neurol, 44, pp.202~208 (1998)
- Capasso M, "Acute motor conduction block neuropathy:another Guillain-Barré syndrome variant", Neurology, 61, pp.617~622 (2003)
- Hiraga A, "Recovery patterns and long term prognosis for axonal Guillain-Barré syndrome", J Neurol Neurosurg Psychiatry, 76, pp.719~722 (2005)
