지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
오류제보하기
Dysgeusia and dysphagia are rarely reported as the sole clinical symptoms of anti-GQ1b antibody syndrome involving the cranial nerves (CN). According to previous reports, those exhibiting bilateral facial nerve palsy or ophthalmoplegia or both are followed by bulbar dysfunctions (CNs IX and X). This paper reports a case of a 22-year-old man showing dysgeusia with dysphagia and mild limb weakness. Fiberoptic endoscopy revealed signs of residues after swallowing. The nerve conduction study (NCS) in the limbs and conventional brain magnetic resonance imaging were normal. Further workup revealed a positive serum anti-GQ1b antibody. The diffusion tension weighted brain images with tractography revealed involvement to the bilateral corticobulbar and corticospinal tract at the brainstem level. Although his normal NCS and conventional brain MRI made the diagnosis difficult, it was confirmed to be a rare variant of anti-GQ1b antibody syndrome showing corticobulbar and corticospinal tract involvement. The patient showed excellent recovery after dysphagia treatment.
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등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Chiba A / 1993 / Serum anti-GQ1b IgG antibody is associated with ophthalmoplegia in Miller Fisher syndrome and Guillain-Barre syndrome : clinical and immunohistochemical studies / Neurology 43:1911~1917
Shahrizaila N / 2013 / Bickerstaff brainstem encephalitis and Fisher syndrome : anti-GQ1b antibody syndrome / J Neurol Neurosurg Psychiatry 84:576~583
Wakerley BR / 2015 / Polyneuritis cranialis : oculopharyngeal subtype of Guillain-Barre syndrome / J Neurol 262:2001~2012
유주영 / 2013 / Multiple Cranial Neuropathies Without Limb Involvements: Guillain-Barre Syndrome Variant? / Annals of Rehabilitation Medicine 37(5):740~744
Odaka M / 2001 / Anti-GQ1b IgG antibody syndrome : clinical and immunological range / J Neurol Neurosurg Psychiatry 70:50~55
Shahrizaila N / 2013 / Bickerstaff brainstem encephalitis and Fisher syndrome : anti-GQ1b antibody syndrome / J Neurol Neurosurg Psychiatry 84:576~583
Wakerley BR / 2015 / Polyneuritis cranialis : oculopharyngeal subtype of Guillain-Barre syndrome / J Neurol 262:2001~2012
유주영 / 2013 / Multiple Cranial Neuropathies Without Limb Involvements: Guillain-Barre Syndrome Variant? / Annals of Rehabilitation Medicine 37(5):740~744
Odaka M / 2001 / Anti-GQ1b IgG antibody syndrome : clinical and immunological range / J Neurol Neurosurg Psychiatry 70:50~55
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