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格林-巴利综合征(G B S)有15～34岁与50～74岁二个高峰发病年龄,然而由于老年人症状的变异和并存其它神经系疾病,因此常被漏诊,作者报导5例老年性G B S的临床和电生理检查。病例介绍:例1为70岁男性,因两腿痛、流涎和返食一周入院,查体见双面瘫和两侧核间性眼肌麻痹,腱反射减弱,无肢体无力,神经传导研究示多发性周围神经病,治疗两周后症状改善出院,3月后痊愈;例2为65岁女性,进行性步行困难3周,检查见共济失调步态,轻度肢体近端无力,腱反射消失,C S F蛋白1.42g/1,细胞正常,神经传导研究示周围神经病,经治疗4周后恢复正常步态;例8为84岁男性进行性步行困难2周,4周前有过左T_(10-12)节段之带状疱疹,检查见四肢严重肌无力,腱反射消失,神经传导研究示脱髓鞘性多发性神经病,以后又发生窦性心动过速和间歇性房颤,
Guillain-Barre syndrome (GBS) has a peak age of onset between 15 and 34 and 50 to 74 years old. However, GBS is often misdiagnosed due to the variability of the symptoms of the elderly and the coexistence of other neurological diseases. The authors report 5 elderly patients GBS clinical and electrophysiological examination. Case description: Example 1 for 70-year-old man, due to pain in the legs, salivation and feeding a week hospitalization, physical examination showed bilateral paralysis and bilateral nuclear ophthalmoplegia, tendon reflexes, no limb weakness, nerve conduction studies showed multiple Peripheral neuropathy, two weeks after the treatment of symptoms improved discharge, cured after 3 months; 2 cases of 65-year-old female, progressive walking difficulties for 3 weeks, check see ataxia gait, mild limb proximal weakness, tendon reflex, CSF protein 1.42g / 1, normal cells, nerve conduction studies showed peripheral neuropathy, after 4 weeks of treatment to return to normal gait; Example 8 for 84-year-old male walking difficulty for 2 weeks, 4 weeks before the left T_ (10- 12) section of the herpes zoster, examination showed severe limb weakness, tendon reflex disappeared, nerve conduction studies showed demyelinating polyneuropathy, and later sinus tachycardia and intermittent atrial fibrillation occurred,