The Sequential Ultrasonographic, Electrophysiological and MRI Findings in a Patient with the Pharyngeal-cervical-brachial Variant of Guillain-Barré Syndrome from the Acute Phase to the Chronic Phase
| Autor: | Ryo Nakachi, Miwako Kido, Satoshi Ishihara, Syugo Suwazono, Tetsuya Miyagi, Katsuyuki Higa |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Weakness Case Report Guillain-Barre Syndrome 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Internal Medicine medicine Humans Medical diagnosis reproductive and urinary physiology MR neurography Aged Ultrasonography cervical spinal nerve Guillain-Barre syndrome medicine.diagnostic_test business.industry Magnetic resonance neurography Pharynx Magnetic resonance imaging General Medicine medicine.disease electrophysiology Magnetic Resonance Imaging pharyngeal-cervical-brachial variant Electrophysiological Phenomena medicine.anatomical_structure Branchial Region Spinal nerve Physical therapy Nerve conduction study Radiology medicine.symptom business nerve ultrasonography 030217 neurology & neurosurgery |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 |
| Popis: | Acute progressive weakness in bulbar, neck and limbs is included in several differential diagnoses, including the pharyngeal-cervical-brachial (PCB) variant of Guillain-Barre syndrome (GBS). Patients with the PCB variant of GBS are reported to have localized diagnostic cervical spinal nerve abnormalities that can be examined by nerve ultrasonography (NUS) and magnetic resonance neurography (MRN). We herein report the case of a 77-year-old man with the PCB variant of GBS. Although the nerve conduction study (NCS) findings were indirect indicators for an early diagnosis, the combination of NCS and NUS was a useful complementary measure that facilitated an early diagnosis. MRN did not show any apparent diagnostic abnormalities. After early treatment, the patient was discharged and returned home. |
| Databáze: | OpenAIRE |
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