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目的探讨非典型格林-巴利综合征(Guillain-Barre syndrome.GBS)的临床特点,减少误诊、误治。方法对我院2006年4月至2011年7月收治的非典型GBS误诊情况进行回顾性分析。结果本组首发症状为单侧周围性面瘫2例,四肢麻木2例,腰酸背痛2例,偏侧肢体力弱1例,四肢无力2例。误诊为面神经炎2例,脑血管病3例,腰椎间盘突出病2例,末肢神经炎2例,误诊时间为2～20d,均行肌电图检查,9例脑脊液检查显示蛋白-细胞分离,结合临床表现明确诊断为GBS。结论 GBS起病多样,对于临床症状不典型者,应及时进行脑脊液和肌电图检查。尽早明确诊断和治疗。
Objective To investigate the clinical features of atypical Guillain-Barre syndrome (GBS) and to reduce misdiagnosis and misdiagnosis. Methods Retrospective analysis of misdiagnosis of atypical GBS admitted from April 2006 to July 2011 in our hospital. Results The first symptom of this group were unilateral peripheral facial paralysis in 2 cases, numbness in limbs in 2 cases, back pain in 2 cases, weakness in one limb and weak limb in 2 cases. Misdiagnosed as facial neuritis in 2 cases, cerebrovascular disease in 3 cases, 2 cases of lumbar disc herniation, 2 cases of terminal neuritis, misdiagnosis time is 2 ~ 20d, all underwent EMG examination, 9 cases of cerebrospinal fluid examination showed protein - cell separation , With a clear diagnosis of GBS clinical manifestations. Conclusion The onset of GBS varied, for atypical clinical symptoms, prompt cerebrospinal fluid and EMG examination. As soon as possible to confirm the diagnosis and treatment.