儿童格林-巴综合征:叙述性回顾

Anjali Chimegave, Keta Vagha
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引用次数: 0

摘要

突然获得性虚弱的最典型原因是格林-巴罗综合征,其特征是对称上升性麻痹,通常由早期疾病引发。“急性炎症性脱髓鞘性多神经病变”是Guillian-Barre综合征的主要类型之一,可分为四个亚型:急性炎症性脱髓鞘性多神经根神经病、Miller Fisher综合征、急性运动感觉轴索神经病和急性运动轴索神经病。吉兰-巴罗综合征可发生于任何年龄,但常见于40岁以上的人群。更常见的是,男性受到影响。该综合征持续4周,但如果持续时间超过4周,则可归类为亚急性,如果持续时间超过8周,则可归类为慢性。70%的患者存在先前感染。吉兰-巴罗综合征最常见的触发因素是空肠弯曲杆菌,以及巨细胞病毒、寨卡病毒、支原体、甲型和乙型肝炎以及人类免疫缺陷病毒。前发感染一般发生在发病前1至3周。该病的发病机制完全基于分子拟态。在某些情况下,呼吸系统衰竭和自主神经功能障碍可能使格林-巴-罗综合征更难治疗。
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Guillain-Barré syndrome in children: A narrative review
Among the most typical reason of sudden, acquired weakness is Guillain-Barré Syndrome characterized by symmetrical ascending paralysis which is frequently sparked by an earlier illness. “Acute Inflammatory Demyelinating Polyneuropathy,” one of the prevailing kinds of Guillian-Barre Syndrome, is divided into four subtypes: acute inflammatory demyelinating polyradiculoneuropathy, Miller Fisher syndrome, acute motor sensory axonal neuropathy, and acute motor axonal neuropathy. Guillain-Barré syndrome can happen at any age, but it is frequently seen in persons over 40 years. More often, males are impacted. This syndrome lasts for 4 weeks, but if it is prolonged than that, it can be categorized as subacute, and if it lasts longer than 8 weeks, it can be classified as chronic. An antecedent infection is present in 70% of patients. The most frequent trigger for Guillain-Barré Syndrome is Campylobacter jejuni, along with the Cytomegalovirus, Zika virus, mycoplasma, hepatitis A and B, and human immunodeficiency virus. The antecedent infection generally occurs 1 to 3 weeks before. The pathogenesis of the disease solely based on the molecular mimicry. In some circumstances, collapse of respiratory system and autonomic dysfunction might make Guillain-Barré Syndrome more difficult to treat.
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