만성적 경과관찰을 보이는 Guillain-Barré Syndrome 환자 1례
A Clinical Case Study of Guillain-Barré Syndrome with Chronic Progression
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Objectives: This case study reports on one patient presenting atypical and chronic disorders after being diagnosed with Guillain-Barré Syndrome (GBS). Methods: One patient was treated by Yeongseonjetong-eum-gami, Taklisodok-eum-gami, electroacupuncture, and physical therapy. Any improvement in symptoms was assessed by measuring changes in the motor grade of upper limb weakness, the numerical rating scale (NRS) of lower limb numbness, and GBS scores. Results: After 24 days of treatment, the patient's symptoms of GBS showed little improvement. Conclusions: Traditional Korean medical treatment appeared to be effective in reducing GBS symptoms, but more research is required to confirm these results. When treating GBS patients, the clinician should put effort into distinguishing GBS from other nervous disorders, such as acute onset Chronic Inflammatory Demyelinating Polyneuropathy (CIDP).
Abstract
Objectives: This case study reports on one patient presenting atypical and chronic disorders after being diagnosed with Guillain-Barré Syndrome (GBS). Methods: One patient was treated by Yeongseonjetong-eum-gami, Taklisodok-eum-gami, electroacupuncture, and physical therapy. Any improvement in symptoms was assessed by measuring changes in the motor grade of upper limb weakness, the numerical rating scale (NRS) of lower limb numbness, and GBS scores. Results: After 24 days of treatment, the patient's symptoms of GBS showed little improvement. Conclusions: Traditional Korean medical treatment appeared to be effective in reducing GBS symptoms, but more research is required to confirm these results. When treating GBS patients, the clinician should put effort into distinguishing GBS from other nervous disorders, such as acute onset Chronic Inflammatory Demyelinating Polyneuropathy (CIDP).
참고문헌 (19)
- Nobuhiro Y, "Guillain-Barre Shydrome", The New England journal of medicine, 366(24), pp.2294~2304 (2012)[DOI]
- Heo H, "A Case Report of Integrative Medicine Therapy about Patient Suspected Acute Guillain-Barre Syndrome", J of Oriental Chr Dis, 10(1), pp.53~61 (2005)
- Kim JH, "One Case of AIDP Treatment with Oriental & Western medicine", J Int Korean Med, 24(4), pp.975~986 (2003)
- Huh G, "A case report of Guillain-Barre syndrome", Journal of Haehwa Medicine, 23(1), pp.137~148 (2014)
- Shin MS, "A Case Report on the Patient with Guillain-Barre Syndrome", J Oriental Rehab Med, 13(3), pp.137~146 (2003)
- Lee JW, "Report on the Case of Treatment Child Guillain-Barre Syndrome", J Korean Med, 18(2), pp.137~147 (1997)
- 창수진, "Chronic inflammatory demyelinating polyneuropathy in children: a report of four patients with variable relapsing courses", Clinical and Experimental Pediatrics, 58(5), pp.194~198 (2015), 대한소아청소년과학회
- Lee JT, "Clinical Studies on 71 Cases of Guillain - Barre Syndrome", J Korean Orient Med, 25(2), pp.164~173 (1982)
- Philippe H, "Acute-onset chronic inflammatory demyelinating polyneuropathy with cranial nerve involvement, dysautonomia, respiratory failure, and autoantibodies", Muscle & nerve, 41(3), pp.423~426 (2009)
- Lee SE, "A Case of Cauda Equina Syndrome in Early-Onset Chronic Inflammatory Demyelinating Polyneuropathy Clinically Similar to Charcot-Marie-Tooth Disease Type 1", J Korean Neurosurg Soc, 55(6), pp.370~374 (2014)[DOI]
- Amer AH, "Sensory Ssparing patterns and the sensory ratio in acute inflammatory demyelinating polyneuropathy", Muscle & nerve, 35, pp.246~250 (2007)[DOI]
- Amer AH, "New criteria for early electrodiagnosis of acute inflammatory demyelinating polyneuropathy", Muscle & nerve, 32(1), pp.66~72 (2005)[DOI]
- Patjana PS, "Reliability and validity of the Medical Research Council (MRC) scale and a modified scale for testing muscle strength in patients with radial palsy", J Rehabil Med, 40(8), pp.665~671 (2008)[DOI]
- Hughes RA, "Intravenous immunoglobulin for Guillain-Barre syndrome", Cochrane Database Syst Rev, (6) (2014)
- Allan HR, "Principles Of Neurology, 8th ed", pp.1312~1314 (2005), McGraw-Hill
- Ruts L, "Distinguishing acute-onset CIDP from fluctuating Guillain-Barre syndrome: A prospective study", Neurology, 74(21), pp.1680~1686 (2010)[DOI]
- Krista K, "Recurrences, vaccinations and long-term symptoms in GBS and CIDP", Journal of the Peripheral Nervous System, 14(4), pp.310~315 (2009)[DOI]
- Antonios K, "Bochum ultrasound score versus clinical and electrophysiological parameters in distinguishing acute-onset chronic from acute inflammatory demyelinating polyneuropathy", Muscle & nerve, 51(6), pp.846~852 (2015)[DOI]
- 남효익, "Guillain-Barre Syndrome으로 진단받은 환자의 痺證 치험 2례", 대한한방내과학회지, 27(3), pp.738~745 (2006), 대한한방내과학회
