性作为吉兰-巴雷综合征的初始表现:一个罕见的病例报告
Mohamed Farah Osman Hidig1, Mohamed Sheikh Hassan1,2, Abdiwahid Ahmed Ibrahim1
1Department of Neurology, Mogadishu Somalia Turkish Training and Research Hospital, Mogadishu, Somalia.
International medical case reports journal
|November 8, 2024
概括
吉兰-巴雷综合征 (GBS) 最初可以呈现为性,一种胃肠道问题. 早期识别这种GBS症状对于及时治疗和改善患者结果至关重要.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 关键护理医学 关键护理医学
背景情况:
- 吉兰-巴雷综合征 (GBS) 的特征是对称的四肢虚弱,感官变化和反射减弱.
- 自主功能障碍影响了相当一部分GBS患者.
- 胃肠道失调,包括性,可能是早期的,不常见的GBS表现,先于运动缺陷.
研究的目的:
- 报告一例Guillain-Barre综合征的病例,最初呈现为麻性阴茎.
- 强调认识到胃肠异位症作为GBS早期症状的重要性.
- 为了强调延迟诊断和不良结果的可能性,由于低估了与GBS相关的胃肠道症状.
主要方法:
- 一个55岁的男性病例报告,患有麻性阴茎.
- 临床评估包括神经学检查和诊断测试.
- 诊断结果的审查:神经传导研究 (脱线感官运动性多神经病变) 和脑脊液分析 (白蛋白-细胞学解离).
主要成果:
- 患者最初出现了性阴茎,对 prokinetic 药物和肠道营养无反应.
- 渐进的上升四肢疲软到四肢和需要机械通风的呼吸衰竭随之而来.
- 尽管接受了静脉注射免疫球蛋白 (IVIG) 治疗,但该患者出现并发症,并最终在入院后两个月死亡.
结论:
- 胃肠异常症,如性,可以是吉-巴雷综合征的表现特征.
- 缺乏对GBS相关的胃肠道症状的认识可能会推迟诊断和治疗.
- 及时诊断和管理GBS对于降低死亡率和发病率至关重要,强调需要考虑GBS在不明原因的麻性结核病例.
相关概念视频
Myasthenia Gravis: Diagnostic Tests
655
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
655
Myasthenia Gravis: Overview and Treatment
1.2K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.2K
Depolarizing Blockers: Pharmocokinetics
310
Depolarizing blockers are administered through intravenous injection. Succinylcholine is the most common choice of depolarizing blockers in emergency clinical practices. Although they have a rapid onset, they readily diffuse away from the motor end plate into the extracellular fluid. They are metabolized by enzymes such as liver butyrylcholinesterase and plasma pseudocholinesterases. This produces a short duration of action, typically 5-10 minutes long, unlike nondepolarizing blockers, which...
310
Depolarizing Blockers: Mechanism of Action
1.4K
Depolarizing blockers act on skeletal muscle fibers' membranes and induce their depolarization. Most depolarizing blockers have two quaternary N+ atoms that bind the nicotinic acetylcholine receptors and cause neuromuscular blockade within minutes.
Succinylcholine is the most commonly used depolarizing blocker. Chemically, it constitutes two molecules of acetylcholine joined together by an acetate methyl group. They act on the receptors in the same way as acetylcholine. Because...
Succinylcholine is the most commonly used depolarizing blocker. Chemically, it constitutes two molecules of acetylcholine joined together by an acetate methyl group. They act on the receptors in the same way as acetylcholine. Because...
1.4K
Disorders of the Skeletal Muscle
887
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
887
Lower GI Series: Barium Enema
189
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
189


