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acute guillain barre syndrome in Hemodialysis Patients with Diabetic Nephropathy:A Case Report

Journal of Clinical and Nursing Research 2021年第1期5卷 109-112页

作者： Zhi Xiao Binbin Wang Yanyu Li Department of Nephrology Binzhou People's HospitalBinzhou 256610Shandong ProvinceChina Department of Emergency Binzhou People's HospitalBinzhou 256610Shandong ProvinceChina

acute guillain barre syndrome is a common type of autoimmune mediated acute peripheral *** initial symptoms are symmetrical limb weakness,sensory disturbance,pain or other *** paper reports a case of acute guillain barre syndrome in a uremic patient with diabetic nephropathy and long-term regular hemodialysis,in order to further explore the clinical manifestations and differential characteristics of uremic patients with acute guillain barre syndrome,improve the early diagnosis rate of uremic patients with acute guillain barre syndrome,make the patients get timely treatment,so as to reduce the disability of such patients To improve the prognosis of the disease.

关键词： acute guillain-barre syndrome Uremia Diabetic peripheral neuropathy

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Magnetic resonance imaging diagnosis of acute guillain-Barré syndrome in children

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Neural Regeneration Research 2011年第20期6卷 1564-1569页

作者： Zhongjun Hou Xiaojun Yu Huimin Jiang Xi Li Bingyi Cao Yaotang Chen Jiao Chen Gamma Knife Department Second Affiliated Hospital of Guangzhou Medical College Guangzhou 510260 Guangdong Province China Department of Neurological Rehabilitation Guangzhou Children's Hospital Guangzhou 510320 Guangdong Province China

The present study examined 24 children with acute guillain-barre syndrome using magnetic resonance imaging （MRI） plain scans and fat-suppressed enhanced Tl-weighted imaging （T1WI） scans. Axial MRI plain scans centering on the medullary conus were positive in nine patients （38%）. These displayed variable thickening involving the cauda equina with isointensity on T1WI and isointensity or slight hyperintensity on T2WI. False negatives were obtained in patients with cervical and cranial nerve symptoms. Contrast enhancement of T1WI with fat suppression was positive in all patients in the cauda equina with varied thickening and enhancement centering on the medullary conus. Five patients （36%） were positive in the cervical nerves and 3 patients （50%） were positive in the cranial nerves. These patients had corresponding cervical and cranial nerve symptoms, respectively. Patients with serious clinical symptoms in the lower limbs exhibited obvious involvement of the cauda equina by MRI. Statistical analysis revealed a positive correlation between the extent of enlargement of the cauda equina, centering on the medullary conus, and cerebrospinal fluid protein concentration.

关键词： children acute guillain-barre syndrome diagnosis magnetic resonance imaging

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