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中华脑科疾病与康复杂志(电子版) ›› 2024, Vol. 14 ›› Issue (02) : 120 -123. doi: 10.3877/cma.j.issn.2095-123X.2024.02.009

病例报告

脑出血继发吉兰-巴雷综合征二例报道并文献复习
鲁悦1, 李伟1, 庄宗1, 王娟1, 赵鹏来1, 杭春华1,()   
  1. 1. 210008 南京,南京大学医学院附属鼓楼医院神经外科(南京大学神经外科研究所)
  • 收稿日期:2023-03-30 出版日期:2024-04-15
  • 通信作者: 杭春华

Guillain-Barré syndrome secondary to cerebral hemorrhage: report of two cases and literature review

Yue Lu, Wei Li, Zong Zhuang   

  • Received:2023-03-30 Published:2024-04-15
引用本文:

鲁悦, 李伟, 庄宗, 王娟, 赵鹏来, 杭春华. 脑出血继发吉兰-巴雷综合征二例报道并文献复习[J/OL]. 中华脑科疾病与康复杂志(电子版), 2024, 14(02): 120-123.

Yue Lu, Wei Li, Zong Zhuang. Guillain-Barré syndrome secondary to cerebral hemorrhage: report of two cases and literature review[J/OL]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2024, 14(02): 120-123.

吉兰-巴雷综合征(Guillain-Barré syndrome,GBS)是一种自身免疫介导的外周神经炎症性疾病,常继发于感染,空肠弯曲菌是最常见的感染病原。GBS常以对称性肢体肌力下降为首发症状,重者累及呼吸肌,导致呼吸衰竭[1]。本研究总结了2例重症脑出血继发GBS合并有严重意识障碍和神经功能缺损的患者的诊治经验,结合既往文献报道,分析重症脑出血继发GBS的早期诊断与治疗的可行性和危险因素,现报道如下。

图1 病例1术前影像学资料A:小脑出血;B:脑室出血;C:脑血管造影示小脑动静脉畸形(黑色箭头所示)合并左侧小脑后下动脉瘤(白色箭头所示)
Fig.1 Preoperative imaging data of case 1
图2 病例2术前影像学资料A:蛛网膜下腔出血;B:伴前纵裂血肿形成;C:CTA提示前交通动脉瘤(箭头所示)
Fig.2 Preoperative imaging data of case 2
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