蛛网膜下腔出血合并脑室出血后继发吉兰-巴雷综合征1例  

Subsequent to subarachnoid hemorrhage and intraventricular hemorrhage:A case of Guillain-Barre syndrome

作　　者：段晓琴[1] 陈岩[2] 黄萨[3] 刘忠良[1] 宋新光[4] DUAN Xiaoqin;CHEN Yan;HUANG Sa;LIU Zhongliang;SONG Xinguang(Department of Rehabilitation,the Second Hospital of Jilin University,Changchun 130041,China;Department of Neurosurgery,Second Hospital of Jilin University,Changchun 130041,China;Department of Radiology,Second Hospital of Jilin University,Changchun 130041,China;Henan Provincial People＇s Hospital,Zhengzhou 450003,China)

机构地区：[1]吉林大学第二医院康复医学科,吉林长春130041 [2]吉林大学第二医院神经外科,吉林长春130041 [3]吉林大学第二医院放射线科,吉林长春130041 [4]河南省人民医院,河南郑州450003

出　　处：《中国实用神经疾病杂志》2018年第14期1615-1619,共5页Chinese Journal of Practical Nervous Diseases

基　　金：吉林省卫生计生委项目(2016S035)

摘　　要：1例66岁女性患者,突发意识不清、呕吐,行头部CT诊断为蛛网膜下腔出血,1周后出现四肢活动不灵,以双下肢为重。体格检查见患者嗜睡状态,唤醒后配合体格检查,言语缓慢,听力下降,双侧瞳孔等大同圆,直径约2.0 mm,对光反射迟钝,四肢肌张力正常,双侧上肢近端肌力2级,远端肌力3级,双侧下肢肌力0级,四肢腱反射对称减弱,双侧Babinski征阴性。神经电生理及各项辅助检查后诊断为蛛网膜下腔出血合并脑室出血后继发吉兰-巴雷综合征。A 66 year old female patient had unclear consciousness and vomiting.She was diagnosed as subarachnoid hemorrhage with head CT.One week later,her limbs became inactive,especially in lower limbs.The patient was in drowsiness but could cooperate with physical examination after awakening,with slow speech,hearing loss,diameter of bilateral pupils about 2.0mm,dullness of light refle,normal limb muscle tone.The proximal bilateral muscular strength of the upper extremity was grade 2 while the distal muscle strength was grade 3,bilateral lower limb muscle strength was grade 0,and the quadriplegia reflexes were reduced symmetrically.The bilateral Babinski signs were negative.She was a patient with Guillain Barre syndrome that after subsequent to subarachnoid hemorrhage and intraventricular hemorrhage by neuro electrophysiology and various auxiliary examinations.

关 键 词：蛛网膜下腔出血 脑室出血 吉兰-巴雷综合征 神经电生理 文献复习 

分 类 号：R743.35[医药卫生—神经病学与精神病学]