Guillain-Barré Syndrome and Encephalitis Caused by Measles |
Won Ihl Rhee, M.D., Jong Hyun Kim, M.D., Keun Young Park, M.D., Jong Min Lee, M.D.* , Dong Chan Jin, M.D.* |
Department of Rehabilitation Medicine, Catholic University Medical College, *Department of Internal Medicine, Catholic University Medical College |
홍역에 의한 Guillain-Barré 증후군 및 뇌염 합병증례 |
이원일, 김종현, 박근영, 이종민*, 진동찬* |
가톨릭대학교 의과대학 재활의학교실 및 내과학교실* |
|
|
|
Abstract |
Guillain-Barré syndrome, acute inflammatory demyelinating polyradiculoneuropathy, is acutely or subacutely evolving paralytic disease caused by unestablished etiology. It's antecedent events are upper respiratory infection, unexplained fever, vomiting, diarrhea, vaccination, viral and bacterial infection, and surgical procedure, in order of frequency. Measles infection is known as the rare antecedent event of Guillain-Barré syndrome. The acute axonal form of Guillain-Barré syndrome is characterized by rapid progression to severe widespread paralysis and show respiratory dependence within 2-5 days of the onset of weakness with very poor and delayed recovery. But in this presented case, axonal Guillain-Barré syndrome and combined encephalitis caused by measles infection, 14 year-old girl showed rapid and good recovery though suffered from severe clinical course. This case illustrates prognostic indicator in adult can't apply to child. So more study about causative agents, classification, and prognostic indicator is necessary. |
Key Words:
Guillain-Barre syndrome, Axonal degeneration, Measles, Encephalitis |
|