다발뇌신경마비와 동공마비가 동반된 항 GQ1b 증후군
Multiple Cranial Neuropathies and Pupillary Areflexia Associated with Anti-GQ1b Antibody
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초록
The causes of multiple cranial neuropathies are variable, including infection, inflammation or neoplastic lesion. They also can be a presenting features of the atypical variant of the Guillain-Barre syndrome (GBS). In spite of careful clinical investigation, etiology often remains unknown in many cases. We describe a patient who presented with ophthalmoplegia with pupillary areflexia, bulbar dysfunction, and bilateral facial palsy after upper respiratory tract infection and had significant elevation of anti-GQ1b antibody titer. We suggest that pupillary areflexia should be recognized as another feature that may be present in conditions of the anti-GQ1b antibody syndrome.
Abstract
The causes of multiple cranial neuropathies are variable, including infection, inflammation or neoplastic lesion. They also can be a presenting features of the atypical variant of the Guillain-Barre syndrome (GBS). In spite of careful clinical investigation, etiology often remains unknown in many cases. We describe a patient who presented with ophthalmoplegia with pupillary areflexia, bulbar dysfunction, and bilateral facial palsy after upper respiratory tract infection and had significant elevation of anti-GQ1b antibody titer. We suggest that pupillary areflexia should be recognized as another feature that may be present in conditions of the anti-GQ1b antibody syndrome.
참고문헌 (10)
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