Guillain- Barre syndrome
- 최초 등록일
- 2009.11.30
- 최종 저작일
- 2009.10
- 19페이지/
MS 파워포인트
- 가격 1,000원
![할인쿠폰받기](/images/v4/document/ico_det_coupon.gif)
소개글
Guillain- Barre syndrome에 대한 disease review 및 case 정리 입니다.
목차
CASE
Dsease review
1. introduction
2. Pathogenesis
3. Clinical features
4. Physical examination
5. Diagnostic studies
6. Treatment
- Plasmapheresis
- IV immunoiglubulin
본문내용
P.I: Amateur wrestler로 내원 약 3주전 URI Sx. 있었으며, 내원 5일전 부터 상기 Sx. Onset. 하고 점점 악화되어 OS OPD 내원. 내원 당시 보행 불가능
Physical Exam
Upper motor/sensory: Gr. II ~ III/ intact
Lower motor: Gr. II/ intact
Babinski test:
Ankle clonus:
DTR: Biceps reflex Triceps reflex Brachio-radial reflex Achilles reflex
T1
T2
T1 enahnced
CBC
WBC 5000/ul
Hemoglobin 13.5 g/dl
Platelet 308K/ul
CSF analysis
Colorless
pH 7.5
S.G 1.008
Cell Count(WBC) No cell /(RBC) No cell
Glucose: 59 (76-110)
Protein:25 (15-45)
CMV IgG: Positive(51) (NEGATIVE < 4 UA/mL)
Guillain- Barre syndrome
Liv-γ 1g/kg IV for 2 days (High dose IV Immunoglubulin)
Motor power recovery
DTR decreased
An acute inflammatory demyelinating polyneuropathy characterized by progressive muscle weakness and areflexia
Annual incidence: 0.6 ~ 2.4 cases per 100,000 all ages and in both sexes
Most common cause of acute flaccid paralysis in healthy people (With the marked decline in the incidence of polio)
참고 자료
신경과 교과서