感觉性共济失调型格林-巴利综合征3例临床与电生理

摘要

目的：了解感觉性共济失调型格林-巴利综合征的临床与电生理特点。方法：观察临床及电生理表现，测定了正中神经、尺神经、腓神经末端潜伏期，运动神经传导速度，运动诱发波幅；感觉神经传导速度，感觉诱发波幅。结果：临床表现： 1. 急性起病。 2. 病前有感染史。 3. 感觉减退或消失、感觉性共济失调。 4. 脑脊液蛋白细胞分离。电生理检查： 1. 感觉神经传导速度减慢。 2. 感觉神经诱发波幅降低或缺失。结论：临床及电生理特点可作为感觉性共济失调型格林-巴利综合征的诊断标准之一。%Objective： To understand clinical and electrophysiological feature of sensory ataxia form. Guillain-Barre syndrome. Methods: To observe clinical manifestations and electrophysiological examination includng distal latency of median nerve、 motor nerve evoked ampliotude、 sensory nerve conduction velocity、 sensory nerve evoked amplitude. Results: Clinical manifestation: 1. onset was acute. 2. there was history of infection before illiess. 3. hypoesthesia, anesthesia and sensory ataxia 4. albuminocytologic dissociation in CSF. Electrophysiological examination: sensory nerve conduction velocity was slowed and sensory nerve evoked amplitude was reduced or absent. Conclusion: clinical and electrophysiological feature were one of diagnostic criterial of sensory ataxia form Guillain-Barre Syndrome.