심한 구마비를 보인 급성 운동 축삭형 신경병증 1예
A Case of Acute Motor Axonal Neuropathy with Prominent Bulbar Palsy
김재호, 김일수, 한태륜, 최덕형,
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김재호 ( Kim Jae-Ho )
서울대학교 의과대학 재활의학교실
김일수 ( Kim Il-Soo )
서울대학교 의과대학 재활의학교실
한태륜 ( Han Tai-Ryoon )
서울대학교 의과대학 재활의학교실
최덕형 ( Choi Deok-Hyung )
서울대학교 의과대학 재활의학교실
KMID : 0860920060080020153
Abstract
We report a case of acute motor axonal neuropathy (AMAN) with cranial nerves involvements. A 66- year-old man presented with acute ascending paralysis subsequent to upper respiratory infection. He developed respiratory failure needed mechanical ventilation as well as dysarthria, dysphagia, and areflexia. However sensory signs and symptoms were absent. The needle electromyography showed denervation potentials in his limbs and muscles innervated by cranial nerves. The present report indicate that the cranial nerve may be affected in AMAN, one of the clinical subtype of Guillain-Barre syndrome.
키워드
Acute motor axonal neuropathy;Guillain-Barre Syndrome;Bulbar palsy;Cranial nerve
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