Old asymmetry in 1 case of chronic Guillain-Barre syndrome.docVIP

 PAGE \* MERGEFORMAT 6 Old asymmetry in 1 case of chronic Guillain-Barre syndrome Of: Liu Wenwen Huang Qing Yin Renfu flow [Keywords:] Chronic Guillain-Barre syndrome, asymmetry, old age Chronic Guillain-Barre syndrome (chronic Guillain Barre syndrome, CGBS also known as chronic inflammatory demyelinating polyneuropathy root (CIDP, as autoimmune diseases, generally hidden onset, progress slowly, hormone treatment is effective. Typical symptoms Symmetry characteristics (1), both sensory and motor functions involved, a bimodal age of onset of the phenomenon, that is, 16 to 25 years old and 45 to 60 years there are two peak incidence over 60 very little. This paper reports 1 case of old age onset, asymmetry of limb paralysis, unilateral nerve paralysis with eye movements. A medical record Male patient, 68 years old. Because of “the right eyelid ptosis in February with three-limb weakness, numbness, 1 w” hospital. Two months ago, there was no incentive for the right ptosis with diplopia, the Ministry of waist and legs ache, at a local hospital diagnosis of “eye movement nerve palsy, “improved by hormone therapy, and increased again after stopping, there left lower limb weakness, numbness, and from distal to proximal development, and can still walk, after about 1 w have involved the right lower limb weakness, can not walk, left lifting upper limb problems with hoarseness, choking water. admission examination: Shen Qing, right ptosis, limited abduction adduction the right eye, diplopia, soft palate to enhance poor, bad swallowing, less articulation clear, pharyngeal reflex . right upper limb muscle strength normal, the left upper limb muscle strength . left lower limb muscle strength , grade right lower limb muscle strength. of both lower extremities with mild muscle atrophy, muscle tension is low. Masonic coordination, right upper limb tendon reflexes (+, left upper limb tendon reflexes, left and right knee reflex disappeared. electromyography tips l