以头痛及单侧眼肌眼肌麻痹为主要表现的GQ1b阴性的Miller-Fisher综合征1例  

A Case of GQ1b-Negative Miller-Fisher Syndrome with Headache and Unilateral Ophthalmoplegia

作　　者：王凡 丁伯君 李锐[2] 

机构地区：[1]西安医学院,陕西 西安 [2]陕西省人民医院,陕西 西安

出　　处：《临床医学进展》2022年第5期4746-4751,共6页Advances in Clinical Medicine

摘　　要：Miller-Fisher综合征是一种自身免疫学介导的疾病,通常急性起病,病前常有呼吸道或胃肠道感染病史,可发生于任何年龄段或任何季节。临床上主要表现为经典的三联征:眼肌麻痹、共济失调、腱反射减弱或消失。本文回顾性分析了2021年10月29日就诊于陕西省人民医院的1例以头痛及单侧眼肌麻痹为主要表现的GQ1b阴性的Miller-Fisher综合征,现将其临床资料及诊疗经过报道如下,以为临床提供指导意义。Miller-Fisher syndrome is an autoimmune mediated disease, usually acute onset, often preceded by a history of respiratory or gastrointestinal infection, can occur at any age, in any season. The main clinical manifestations are the classic triad: ophthalmoplegia, ataxia, tendon reflex weakened or disappeared. This paper retrospectively analyzed a case of Miller-Fisher syndrome with headache and unilateral ophthalmoplegia as presentation in Shaanxi People’s Hospital on October 29, 2021. The clinical data and diagnosis and treatment of the case are reported as follows to provide clinical guidance.

关 键 词：MILLER-FISHER综合征 TOLOSA-HUNT综合征 单侧眼肌麻痹 头痛 

分 类 号：R745[医药卫生—神经病学与精神病学]