1.Two Cases of Scrub Typhus Presenting with Guillain-Barre Syndrome with Respiratory Failure.
Il Nam JU ; Jung Woo LEE ; Sung Yeoun CHO ; Seung Jee RYU ; Youn Jeong KIM ; Sang Il KIM ; Moon Won KANG
The Korean Journal of Internal Medicine 2011;26(4):474-476
No abstract available.
Diagnosis, Differential
;
Doxycycline/therapeutic use
;
Female
;
Guillain-Barre Syndrome/*diagnosis/pathology
;
Humans
;
Immunoglobulins/therapeutic use
;
Male
;
Middle Aged
;
Respiration, Artificial
;
Respiratory Insufficiency/*diagnosis/pathology
;
Scrub Typhus/*diagnosis/pathology
2.A case of overlapping Bickerstaff's brainstem encephalitis and Guillain-Barré syndrome.
De-sheng WANG ; Ying TANG ; Ye WANG
Journal of Zhejiang University. Science. B 2006;7(2):138-141
OBJECTIVEThere is no report on Bickerstaff's brainstem encephalitis (BBE) patients in China. We here report the first case of BBE in China.
METHODSClinical features, results of electromyography, electroencephalography (EEG), magnetic resonance imaging (MRI) and cerebrospinal fluid (CSF) examination were studied to clarify the characteristics of this syndrome.
RESULTSA 44-year-old man presented himself at our inpatient department with somnolence and dizziness as his initial symptoms. He developed multiple cranial nerves paralysis especially internal and external ophthalmoplegia, ataxia and tetraparesis within 1 week. His condition rapidly deteriorated, and he experienced coma. Electromyography showed indications of peripheral nerve dysfunction, electroencephalography revealed loss of basic rhythm, MRI demonstrated high-intensity abnormalities on T(2)-weighted images of medulla oblongata, and CSF albuminocytological dissociation was defined abnormally as high protein. Ten months later, he almost completely recovered.
CONCLUSIONBBE, fisher syndrome (FS) and Guillain-Barré syndrome (GBS) are similar clinically; BBE and FS were proposed to be the variant of GBS.
Adult ; Brain ; pathology ; Coma ; Diagnosis, Differential ; Electroencephalography ; Electromyography ; Encephalitis ; complications ; Guillain-Barre Syndrome ; complications ; Humans ; Magnetic Resonance Imaging ; Male ; Medulla Oblongata ; pathology ; Time Factors
3.A case of Guillain-Barre syndrome complicated with posterior reversible encephalopathy syndrome.
Ying YANG ; Jian-hua FENG ; Yu-wen DAI
Chinese Journal of Pediatrics 2013;51(6):477-478
Biomarkers
;
blood
;
Brain
;
diagnostic imaging
;
pathology
;
Brain Edema
;
etiology
;
pathology
;
Child
;
Diagnosis, Differential
;
Electroencephalography
;
Guillain-Barre Syndrome
;
complications
;
diagnosis
;
therapy
;
Humans
;
Magnetic Resonance Imaging
;
Male
;
Posterior Leukoencephalopathy Syndrome
;
complications
;
diagnosis
;
therapy
;
Radiography
4.A Korean patient with Guillain-Barré syndrome following acute hepatitis E whose cholestasis resolved with steroid therapy.
Sung Bok JI ; Sang Soo LEE ; Hee Cheul JUNG ; Hong Jun KIM ; Hyun Jin KIM ; Tae Hyo KIM ; Woon Tae JUNG ; Ok Jae LEE ; Dae Hyun SONG
Clinical and Molecular Hepatology 2016;22(3):396-399
Autochthonous hepatitis E virus (HEV) is an emerging pathogen in developed countries, and several cases of acute HEV infection have been reported in South Korea. However, there have been no reports on HEV-associated Guillain-Barré syndrome (GBS) in Korea. We recently experienced the case of a 58-year-old Korean male with acute HEV infection after ingesting raw deer meat. Persistent cholestasis was resolved by the administration of prednisolone. At 2.5 months after the clinical presentation of HEV infection, the patient developed weakness of the lower limbs, and was diagnosed with GBS associated with acute hepatitis E. To our knowledge, this is the second report on supportive steroid therapy for persistent cholestasis due to hepatitis E, and the first report of GBS in a Korean patient with acute HEV infection.
Acute Disease
;
Alanine Transaminase/blood
;
Antibodies, Viral/blood
;
Aspartate Aminotransferases/blood
;
Bilirubin/analysis
;
Cholestasis/*drug therapy
;
Guillain-Barre Syndrome/complications/*diagnosis
;
Hepatitis E/*diagnosis/etiology
;
Hepatitis E virus/immunology
;
Humans
;
Immunoglobulin M/blood
;
Liver/pathology
;
Male
;
Middle Aged
;
Prednisolone/therapeutic use
;
Republic of Korea
;
Steroids/*therapeutic use