급성뇌경색에 병발한 길랭-바레증후군
Guillain-Barré Syndrome Following Acute Cerebral Infarction
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Guillain-Barré syndrome (GBS) is an autoimmune polyneuropathy that presents with acute onset and rapid progressionof ascending quadriparesis and hyporeflexia, which can be triggered by various conditions. However, GBS followingcerebral infarction is very rare. We describe herein a patient with facial diplegia, ophthalmoplegia, and areflexia thatoccurred during acute cerebral infarction. The symptoms were improved after intravenous immunoglobulin treatment. The details of this case suggest that GBS is triggered by immune dysregulation after acute cerebral infarction.
Abstract
Guillain-Barré syndrome (GBS) is an autoimmune polyneuropathy that presents with acute onset and rapid progressionof ascending quadriparesis and hyporeflexia, which can be triggered by various conditions. However, GBS followingcerebral infarction is very rare. We describe herein a patient with facial diplegia, ophthalmoplegia, and areflexia thatoccurred during acute cerebral infarction. The symptoms were improved after intravenous immunoglobulin treatment. The details of this case suggest that GBS is triggered by immune dysregulation after acute cerebral infarction.
참고문헌 (8)
- 최윤정, "척수염과 병발한 길랑-바레증후군 1예", 대한신경과학회지, 23(1), pp.124~127 (2005), 대한신경과학회
- Bersano A, "Guillain–Barré syndrome after rtPA therapy for acute stroke", Neurol Sci, 31, pp.867~869 (2010)
- Yan J, "Immune activation in the peripheral blood of patients with acute ischemic stroke", J Neuroimmunol, 206, pp.112~117 (2009)
- Stoll G, "Inflammatory cytokines in the nervous system: multifunc-tional mediators in autoimmunity and cerebral ischemia", Rev Neurol (Paris), 158, pp.887~891 (2002)
- Linnik W, "Associated reactions during and im-mediately after rtPA infusion", Ann Emerg Med, 18, pp.234~239 (1989)
- Duncan R, "Guillain–Barré syndrome following acute head trauma", Postgrad Med J, 63, pp.479~480 (1987)
- Tarkowski E, "Increased systemic T-lympho-cyte reactivity in patients with established stroke", J Clin Lab Immunol, 35, pp.171~176 (1991)
- Ferrarese C, "Increased cytokine release from peripheral blood cells after acute stroke", J Cereb Blood Flow Metab, 19, pp.1004~1009 (1999)