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病例报告。
一名20岁男子发达弱点没有感官投诉风疹后10天。他发烧,典型的风疹皮疹,枕骨下的淋巴结病爆发流行病在他的学校。检查显示对称的前臂和内在的弱点手肌肉,tibioperoneal肌肉和小腿三头肌(规模等级4/5,医学研究委员会)和活跃腱反射。他不能起床从蹲或走在脚跟和脚趾。颅神经和感官检查都是正常的。血清肌酸激酶是正常的。血清学测试显示免疫球蛋白G和IgM antirubella (Ig)。脑脊液蛋白质含量增加(0.8 g / L)。电生理学的检查显示部分电动机导电块(CBs)在八个神经,长时间在胫骨远端运动延迟神经,和正常感官条件甚至整个网站的CB(图)。四肢远端肌肉的肌电图显示了招聘与高频放电汽车单位。 Brain and spinal MRI and median and tibial somatosensory evoked potentials were normal. A diagnosis of Guillain–Barré syndrome (GBS) was made, and the patient was treated with four plasmaphereses with complete recovery in 6 months. On serial electrophysiologic examination, CBs disappeared in 8 to 16 weeks, and abnormal temporal dispersion occurred in four nerves, indicating that demyelination was the pathophysiologic basis (see figure). Sensory conductions remained normal, and fibrillation potentials were not detected through …
