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  1. 20 医学系研究科・医学部
  2. 20A 学術誌論文
  3. 20A1 雑誌掲載論文

Guillain-Barré Syndrome and Posterior Reversible Encephalopathy Syndrome following Spinal Surgery

http://hdl.handle.net/10295/00005801
http://hdl.handle.net/10295/00005801
a254fb36-f071-4d06-9d23-e5f89c5809b5
名前 / ファイル ライセンス アクション
iA_2021_24.pdf iA_2021_24 (393.7 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2021-11-12
タイトル
タイトル Guillain-Barré Syndrome and Posterior Reversible Encephalopathy Syndrome following Spinal Surgery
言語 en
言語
言語 eng
主題
主題Scheme Other
主題 Guillain-Barré syndrome
主題
主題Scheme Other
主題 Posterior reversible encephalopathy syndrome
主題
主題Scheme Other
主題 Surgery
主題
主題Scheme Other
主題 Intravenous immunoglobulin G
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
作成者 Sanpei, Yui

× Sanpei, Yui

en Sanpei, Yui

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Hanazono, Akira

× Hanazono, Akira

en Hanazono, Akira

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Kamada, Sachiko

× Kamada, Sachiko

en Kamada, Sachiko

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Sugawara, Masashiro

× Sugawara, Masashiro

en Sugawara, Masashiro

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内容記述
内容記述タイプ Abstract
内容記述 Guillain-Barré syndrome (GBS) typically occurs after gastroenteritis and respiratory tract infec-tion, but surgery has also been considered one of the triggers. Posterior reversible encepha-lopathy syndrome (PRES) is a rare complication of GBS. A normotensive female in her 70s pre-sented ascending paralysis and frontal-parieto-occipital subcortical lesions with intermittent hypertension after spinal surgery. Nerve conduction studies revealed demyelinating polyneu-ropathy. The patient’s brain lesions disappeared with amelioration of hypertension. She was diagnosed with the demyelinating form of GBS and PRES caused by intermittent hypertension. Intravenous immunoglobulin G (IVIG) improved her symptoms without exacerbation of the PRES. Surgery can be a trigger of GBS, and GBS can cause PRES by hypertension and present as central nervous lesions. It is important to treat hypertension before using IVIG when PRES is suspected as a complication of GBS, since the encephalopathy can be exacerbated by IVIG. There may be more undiagnosed cases of the coexistence of GBS and PRES after surgery be-cause surgery itself can also cause PRES. Proper control of blood pressure and confirmation of negative central nervous lesions are required to treat GBS patients with IVIG safely.
言語 en
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
書誌情報 Case Reports in Neurology

巻 11, p. 284-289, 発行日 2019
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1662-680X
出版者
出版者 karger
関連情報
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1159/000502570
権利情報
権利情報 © 2019 The Author(s).This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
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Cite as

Sanpei, Yui, Hanazono, Akira, Kamada, Sachiko, Sugawara, Masashiro, 2019, Guillain-Barré Syndrome and Posterior Reversible Encephalopathy Syndrome following Spinal Surgery: karger, 284–289 p.

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