A Case Report of Recurrent Guillain-Barré Syndrome with Orthostatic Hypotension Syncope as the First Symptom  

作　　者：Shuai Yan Xin Liu Luxuan Wang 

机构地区：[1]Affiliated Hospital of Hebei University,Baoding 071000,Hebei Province,China

出　　处：《Proceedings of Anticancer Research》2024年第3期74-79,共6页抗癌研究

摘　　要：Guillain⁃Barré syndrome (GBS) is an immune-mediated peripheral neuropathy with acute or subacute onset of flaccid paralysis of the limbs with symmetrical hypesthesia and autonomic nerve involvement [1]. The clinical manifestations of autonomic nerve damage are complex and varied, which may involve extensive or limited autonomic function damage, including abnormalities of the skin, pupil, urinary tract, gastrointestinal tract, cardiovascular system, body temperature, lacrimal and salivary glands, and sexual function, etc. [2], and some patients may even have autonomic nerve damage as the only symptom, which is a variant of GBS and is prone to misdiagnosis or underdiagnosis. Recurrence of GBS is rare, and the manifestations of recurrence are often similar to those of the first symptoms [3], but the patient admitted to our hospital had syncope as the main clinical manifestation of recurrence, which was completely different from that of the first incidence, and syncope is not a common and typical clinical manifestation of GBS, so misdiagnosis is highly likely.

关 键 词：Orthostatic hypotension SYNCOPE Guillain-Barrésyndrome 

分 类 号：R74[医药卫生—神经病学与精神病学]