Posterior reversible encephalopathy syndrome as the initial manifestation of Guillain-Barre syndrome: case report and review of the literature

被引:22
作者
Rigamonti, Andrea [1 ]
Basso, Francesco [1 ]
Scaccabarozzi, Chiara [1 ]
Lauria, Giuseppe [2 ]
机构
[1] Alessandro Manzoni Hosp, Dept Neurol, Lecce, Italy
[2] IRCCS Fdn, Carlo Besta Neurol Inst, Neuromuscular Dis Unit, Milan, Italy
关键词
dyasutonomia; Guillain-Barre; posterior reversible encephalopathy; PATHOGENESIS;
D O I
10.1111/j.1529-8027.2012.00416.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report a 63-year-old female patient with Guillain-Barre syndrome revealed after posterior reversible encephalopathy syndrome. The onset was characterized by hypertension, headache, and cortical blindness, followed a few days later by progressive limb and facial paresis, dysautonomia, and respiratory failure. Treatment with plasmapheresis led to a rapid improvement of the clinical picture and the disappearance of magnetic resonance abnormalities. This report reviews the literature on this unusual association and discusses possible pathophysiological mechanisms.
引用
收藏
页码:356 / 360
页数:5
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