A Case of Diabetic Neuropathy Combined with Guillain-Barre Syndrome
2
조회
0
다운로드
0
인용
0
참고문헌
초록
A 59-year-old man was admitted with numbness, pain, and a tingling sensation in both lower legs. He was initially diagnosed with diabetic peripheral neuropathy based on a symptom questionnaire and a quantitative sensory test. Despite symptomatic treatment of diabetic neuropathy, he complained of worsening sensory symptoms and additional motor weakness in both lower extremities. As the motor weakness of both extremities became more aggravated over time, brain and spine imaging tests and a nerve conduction test were performed. The nerve conduction study revealed motor and sensory axonal neuropathy. In his cerebrospinal analysis, albumino-cytologic dissociation, which is compatible to the Gillian-Barre syndrome, was found. Cerebrospinal fluid analysis showed albumino-cytologic dissociation. He was treated with intravenous immunoglobulin and his neurologic deficits were gradually improved. (Korean J Intern Med 2010;25:217-220)
Abstract
A 59-year-old man was admitted with numbness, pain, and a tingling sensation in both lower legs. He was initially diagnosed with diabetic peripheral neuropathy based on a symptom questionnaire and a quantitative sensory test. Despite symptomatic treatment of diabetic neuropathy, he complained of worsening sensory symptoms and additional motor weakness in both lower extremities. As the motor weakness of both extremities became more aggravated over time, brain and spine imaging tests and a nerve conduction test were performed. The nerve conduction study revealed motor and sensory axonal neuropathy. In his cerebrospinal analysis, albumino-cytologic dissociation, which is compatible to the Gillian-Barre syndrome, was found. Cerebrospinal fluid analysis showed albumino-cytologic dissociation. He was treated with intravenous immunoglobulin and his neurologic deficits were gradually improved. (Korean J Intern Med 2010;25:217-220)
참고문헌 (12)
- Boulton AJ, "Diabetic somatic neuropathies", Diabetes Care, 27, pp.1458~1486 (2004)
- Boulton AJ, "Guidelines for the diagnosis and outpatient management of diabetic peripheral neuropathy", Diabet Med, 15, pp.508~514 (1998)
- Stewart JD, "Chronic inflammatory demyelinating polyneuropathy (CIDP) in diabetics", J Neurol Sci, 142, pp.59~64 (1996)
- Boulton AJ, "Diabetic neuropathies: a statement by the American Diabetes Association", Diabetes Care, 28, pp.956~962 (2005)
- Woolf CJ, "Pain: moving from symptom control toward mechanismspecific pharmacologic management", Ann Intern Med, 140, pp.441~451 (2004)
- Dworkin RH, "An overview of neuropathic pain: syndromes, symptoms, signs, and several mechanisms", Clin J Pain, 18, pp.343~349 (2002)
- Rouanet-Larriviere M, "Guillain-Barré syndrome occurring in two women after ketoacidosic comatose state disclosing an insulin-dependent diabetes mellitus", J Peripher Nerv Syst, 5, pp.27~31 (2000)
- Ropper AH, "The Guillain-Barré syndrome", N Engl J Med, 326, pp.1130~1136 (1992)
- Lawn ND, "Fatal Guillain-Barré syndrome", Neurology, 52, pp.635~638 (1999)
- Hahn AF, "Guillain-Barré syndrome", Lancet, 352, pp.635~641 (1998)
- Hughes RA, "Pathogenesis of Guillain-Barré syndrome", J Neuroimmunol, 100, pp.74~97 (1999)
- Kanra G, "Intravenous immunoglobulin treatment in children with Guillain-Barré syndrome", Eur J Paediatr Neurol, 1, pp.7~12 (1997)