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항GT1강글리오시드항체와 연관된 길랭-바레증후군

Guillain-Barré Syndrome With Antibody to Ganglioside GT1a

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주제분류신경과학

초록

The presence of serum antibodies to various gangliosides, such as anti-GQ1b, is closely related to the clinical features of Guillain‐Barré syndrome. However, the phenotype associated with anti-GT1a IgG has not yet been determined, although it has been detected in some cases of the pharyngeal-cervical‐brachial variant. We report herein two patients harboring anti-GT1a IgG who both presented with profound dyspnea, dysphagia, and quadriparesis. The findings of this report suggest that the anti-GT1a antibody specifies a clinical feature of oropharyngeal palsy.

Abstract

The presence of serum antibodies to various gangliosides, such as anti-GQ1b, is closely related to the clinical features of Guillain‐Barré syndrome. However, the phenotype associated with anti-GT1a IgG has not yet been determined, although it has been detected in some cases of the pharyngeal-cervical‐brachial variant. We report herein two patients harboring anti-GT1a IgG who both presented with profound dyspnea, dysphagia, and quadriparesis. The findings of this report suggest that the anti-GT1a antibody specifies a clinical feature of oropharyngeal palsy.

참고문헌 (9)

  1. Ropper AH, "Guillain- Barre syndrome", pp.1~369 (1991)
  2. 김종국, "항-GQ1b 항체증후군; Miller Fisher 증후군의 다른 이름인가, 새로운 증후군의 출현인가?", 대한신경과학회지, 27(4), pp.307~312 (2009), 대한신경과학회
  3. Koga M, "Anti-GT1a IgG in Guillain-Barre syndrome", J Neurol Neurosurg Psychiatry, 72, pp.767~771 (2002)
  4. Nagashima T, "Clinical correlates of serum anti-GT1a IgG antibodies", J Neurol Sci, 219, pp.139~145 (2004)
  5. Koga M, "Is IgG anti-GT1a antibody associated with pharyngeal-cervical-brachial weakness or oropharyngeal palsy in Guillain-Barre syndrome?", J Neuroimmunol, 86, pp.74~79 (1998)
  6. Kaida K, "GM1", GalNAc-GD1a complex: a target for pure motor Guillain-Barre syndrome, 2008, pp.71, 1683~1690
  7. Nagashima T, "Continuous spectrum of pharyngeal-cervical-brachial variant of Guillain-Barre syndrome", Arch Neurol, 64, pp.1519~1523 (2007)
  8. Willison HJ, "Peripheral neuropathies and anti-glycolipid antibodies", Brain, 125, pp.2591~2625 (2002)
  9. Ilyas AA, "Antibodies to GT1a ganglioside in patients with Guillain-Barre syndrome", J Neuroimmunol, 82, pp.160~167 (1998)

관련 논문AI추천

항GQ1b항체와 항GT1a항체가 동시 검출된 환자에서 공통적으로 나타난 안구인두마비김대성, 김종국, 박영은, 신재용, 신혜경, 조기용대한신경과학회 · 대한신경과학회지2014 · 제32권 제4호인두-목-위팔 위약형 길랭-바레 증후군과 밀러-피셔 증후군이 겹친 증례에서 항-GQ1b 항체와 항-GT1a항체의 증가이근호대한임상신경생리학회 · Annals of Clinical Neurophysiology2013 · 제15권 제1호Prevalence of Anti-Ganglioside Antibodies and Their Clinical Correlates with Guillain-Barré Syndrome in Korea: A Nationwide Multicenter Study권오현, 김남희, 김대성, 김동욱, 김선영, 김종국, 김종은, 김지수, 나상준, 남태승, 박기종, 박민수, 박영은, 배종석, 서범천, 손은희, 송현석, 오선영, 이성훈, 이수연, 이태경, 임정근, 정성해, 최영철, 허소영, Susumu Kusunoki대한신경과학회 · Journal of Clinical Neurology2014 · 제10권 제2호Clinical Heterogeneity of Anti-GM2-Ganglioside-Antibody Syndrome김선영, 김유환, 김종국, 김지수, 박기홍, 배종석, 서범천, 석흥열, 신하영, 오선영, 유진혁, 윤별아, 조중양대한신경과학회 · Journal of Clinical Neurology2018 · 제14권 제3호항GT1a 및 항GM1강글리오시드항체 동시 양성을 보인 길랭-바레증후군과 급성파종뇌척수염의 병발강동국, 김예림, 김종국, 배종석, 유진혁, 윤별아, 이주영대한신경과학회 · 대한신경과학회지2017 · 제35권 제4호편측 외전신경마비만으로 발현된 항-GT1a항체양성길랭-바레증후군김병조, 김지선, 우연선, 이성욱대한신경과학회 · 대한신경과학회지2013 · 제31권 제4호

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