Abstract:
Guillain-Barré syndrome (GBS) is an acute inflammatory polyradiculoneuropathy involving the peripheral nervous system. Autonomic dysfunctions are well-known complications of GBS and are major contributors to mortality. Autonomic dysfunctions are classically described during the acute phase of illness. In the literature, Horner syndrome as a manifestation of GBS has been reported in very few cases. Here, we describe a case of GBS with an acute presentation of flaccid paraparesis associated with unilateral Horner syndrome. Detecting the cause of acute flaccid paraparesis with unilateral Horner syndrome poses a diagnostic challenge, making it crucial for clinicians to maintain a heightened awareness for distinguishing between GBS and its variants, as well as other potential mimics.
摘要:
格林-巴利综合征(GBS)是一种累及周围神经系统的急性炎性多发性神经根神经病。自主神经功能障碍是众所周知的GBS并发症,是死亡的主要原因。在疾病的急性期,传统上描述了自主神经功能障碍。在文学中,作为GBS表现的Horner综合征在极少数病例中已被报道。这里,我们描述了一例GBS急性表现为与单侧Horner综合征相关的弛缓性轻瘫的病例.检测单侧霍纳综合征的急性弛缓性轻瘫的病因提出了诊断挑战,这使得临床医生保持高度的区分GBS及其变体的意识至关重要,以及其他潜在的模仿。