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格林巴利综合征(Guillain—Barre Syndrome, GBS)是一组目前病因尚无定论的以急性对称性四肢或头面部肌肉驰缓性瘫痪,周围型的感觉障碍,脑脊液蛋白——细胞分离为特征的常见疾病。多数作者认为GBS患者若能渡过急性期,一般预后良好,少有长期残留的后遗症。据文献记载GBS急性期约10.7％的患者并发颅内高压(1.96kPa以上),除少数因各种并发症死亡外,多数可痊愈。部分病人留有各种不同的后遗症,计有手指足趾活动不灵,足下垂、手颤抖,声音低微、嘴歪,四肢肌肉萎缩、起立困难、受凉时肢体麻木或疼痛等。而以持续性颅内压增高者在近10年来国内外文献中未见报道。现将收治的一例报道如下:
Guillain-Barre Syndrome (GBS) is a group of patients whose current etiology is not yet conclusively characterized by an acute symmetrical flaccid paralysis of the muscles of the extremities or head and face, peripheral sensory disturbances, and cerebrospinal fluid protein-cell isolation Common diseases. Most authors believe that if the GBS patients can survive the acute phase, the general prognosis is good, few long-term residual sequelae. According to the literature, about 10.7% of patients with acute GBS complicated by intracranial hypertension (over 1.96 kPa), except for a few who died due to various complications, most recovered. Some patients left a variety of sequelae, including finger toe activity is not working, foot drooping, hand trembling, low voice, crooked mouth, limb muscle atrophy, standing up difficulties, numbness or pain when cold and so on. The sustained increase in intracranial pressure in the past 10 years have not been reported in domestic and foreign literature. Now a case of admitted as follows: