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Rehabilitation Practice and Science

Translated Title

急性發炎性去髓鞘多發性神經病變：病例報告

Abstract

Acute inflammatory demyelinating polyradiculoneuropathy (AIDP), also known as Guillain-Barre syndrome (GBS)，the most common illness that causes acute and generalized paralyzing condition in the post-polio era, is diagnosed dependent on the base of clinical manifestations with supportive evidence of electrophysiologic study and cerebrospinal fluid examination. GBS often begins with the distal part of four limbs followed by a progressive course as ascending weakness and may even involve respiratory , facial or oropharyngeal muscles. Spinal fluid examination often reveals elevated protein concentration without associated increase in cells. Plasma exchange has become the gold standard of GBS treatment; in patients contraindicated for plasma exchange, intravenous immune globulin therapy has the same efficacy and safety. Rehabilitation program is crucial for patients’ functional achievement and comprehensive pulmonary care is encouraged in patients with respiratory insufficiency. We propose the experiences of two cases’ management and have a literature review and discussion of this special syndrome.

Language

Traditional Chinese

First Page

237

Last Page

243

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