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疑似重症肌无力的老年Miller-Fisher综合征一例 被引量：4

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摘要 Miller-Fisher综合征（Millre-Fishre syndrome）是周围神经及神经根脱髓鞘病变和小血管炎性细胞浸润为病理特点,且受累于脑干及其脑干内神经核团及传出纤维的自身免疫性周围神经病变.Miller-Fisher综合征是格林-巴利综合征（GBS）变异型之一,主要表现眼外肌麻痹、共济失调及腱反射消失三联征.因病变侵犯受累部位不同,故而临床表现不固定,我们对1例疑似重症肌无力的老年Miller-Fisher综合征病例进行分析报道如下.
作者 牛坤 张超 田瑞振 吕佩源 李玲
机构地区 河北省人民医院神经内三科
出处 《中华老年心脑血管病杂志》 CAS 北大核心 2014年第11期1215-1216,共2页 Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词 MILLER-FISHER综合征 重症肌无力 老年 疑似 格林-巴利综合征 周围神经病变 脱髓鞘病变 炎性细胞浸润
分类号 R745.43 [医药卫生—神经病学与精神病学]
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参考文献7

  • 1Tahrani AA,Sharma S,Rangan S,et al.A pat ient with wors ening mobility:a diagnostic challenge.Eur J Intern Med,2008,19:292-294.
  • 2Kannan MA,Ch PK,Jabeen SA,et al.Clinical,electrophysiological subtypes and antiganglioside antibodies in childhood Guillain-Barre syndrome.Neurol India,2011,59:727-732.
  • 3Lo YL,Fook-Chong S,Chan LL,et al.Electrophysiological evidence of cerebellar fiber system involvement in the Miller Fish er syndrome.J Neurol Sci,2010,288:49-53.
  • 4Kaida K,Kusunoki S,Kanzaki M,et al.Anti-GQ1b antibody as a factor predictive of mechanical ventilation in Guillain-Barre syndrome.Neurology,2004,62:821-824.
  • 5Lolekha P,Phanthumchinda K.Miller-Fisher syndrome at King Chulalongkorn Memorial Hospital.J Med Assoc Thai,2009,92:471-477.
  • 6Mori M,Kuwabara S,Yuki N.Fisher syndrome:clinical features,immunopathogenesis and management.Expert Rev Neurother,2012,12:39-51.
  • 7Bai HX,Wang ZL,Tan LM,et al.The effectiveness of immunomodulating treatment on Miller Fisher syndrome:a retrospective analysis of 65 Chinese patients.J Peripher Nerv Syst,2013,18:195-196.

同被引文献34

  • 1Lourdes álvarez-Arellano,Carmen Maldonado-Bernal.Helicobacter pylori and neurological diseases: Married by the laws of inflammation[J].World Journal of Gastrointestinal Pathophysiology,2014,5(4):400-404. 被引量：23
  • 2Wakerley BR,Uncini A,Yuki N,et al.Guillain-Barre and miller fisher syndromes--new diagnostic classification[J].Nat Rev Neurol,2014,10(9):537-544.DOI:10.1038/nrneurol.2014.138.
  • 3Teener JW.Miller fisher's syndrome[J].Semin Neurol,2012,32(5):512-516.DOI:10.1055/s-0033-1334470.
  • 4Yuki N.Hartung HP.Guillain-Barre syndrome[J].N Engl J Med,2012,366:2294-2304.DOI:10.1056/NEJMra1114525.
  • 5Shahrizaila N.Yuki N.Bickerstaff brainstem encephalitis and Fisher syndrome:anti-GQ1b antibody syndrome[J].J Neurol Neurosurg Psychiatry,2013,84(5):576-583.DOI:10.1136/jnnp-2012-302824.
  • 6Mori M.Kuwabara S,Yuki N.Fisher syndrome;clinical features,immunopathogenesis and management[J].Expert Rev Neurother,2012,12(1):39-51.DOI:10.1586/ern.11.182.
  • 7Yuki N,Shahrizaila N.How do we identify infectious agents that trigger Guillain-Barre syndrome,Fisher syndrome and Bickerstaff brainstem encephalitis?[J].J Neurol Sci,2011,302(1/2):1-5.DOI:10.1016/j.jns.2010.12.010.
  • 8Wong AH,Umapathi T,Nishimoto Y,et al.Cytoalbuminologic dissociation in Asian patients with Guillain-Barrfe and Miller Fisher syndromes[J].J Peripher Nerv Syst,2015,20(1):47-51.DOI:10.1111/jns.12104.
  • 9Nishimoto Y.Odaka M.Hirata K,et al.Usefulness of anti-GQlb IgG antibody testing in Fisher syndrome compared with cerebrospinal fluid examination[J].J Neuroimmunol,2004,148(1/2):200-205.DOI:10.1016/j.jneuroim.2003.11.017.
  • 10Ito M,Kuwabara S,Odaka M,et al.Bickerstaff's brainstem encephalitis and Fisher syndrome form a continuous spectrum:clinical analysis of 581 cases[J].J Neurol,2008,255(5):674-682.DOI:10.1007/s00415-008-0775-0.

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中华老年心脑血管病杂志
2014年 第11期

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