妊娠後期に発症したGuillain-Barré症候群の2例
妊娠30週と妊娠28週に合併したGuillian-Barré症候群（GBS）の2例を経験した．サイトメガロウィルス（CMV）感染の新たな感染が1例，既感染が1例でみとめられた．血液中の抗ガングリオシド抗体はIgM抗GM2抗体は2例とも陽性，1例ではIgM抗GalNAc-GD1aも陽性であった．CMV感染後GBSでは症状の重症化・呼吸不全をみとめたが，CMV既感染GBSでは軽症であった．...
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| Published in | 臨床神経学 Vol. 50; no. 1; pp. 24 - 26 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本神経学会
2010
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0009-918X 1882-0654 |
| DOI | 10.5692/clinicalneurol.50.24 |
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| Abstract | 妊娠30週と妊娠28週に合併したGuillian-Barré症候群（GBS）の2例を経験した．サイトメガロウィルス（CMV）感染の新たな感染が1例，既感染が1例でみとめられた．血液中の抗ガングリオシド抗体はIgM抗GM2抗体は2例とも陽性，1例ではIgM抗GalNAc-GD1aも陽性であった．CMV感染後GBSでは症状の重症化・呼吸不全をみとめたが，CMV既感染GBSでは軽症であった． |
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| AbstractList | 妊娠30週と妊娠28週に合併したGuillian-Barré症候群（GBS）の2例を経験した．サイトメガロウィルス（CMV）感染の新たな感染が1例，既感染が1例でみとめられた．血液中の抗ガングリオシド抗体はIgM抗GM2抗体は2例とも陽性，1例ではIgM抗GalNAc-GD1aも陽性であった．CMV感染後GBSでは症状の重症化・呼吸不全をみとめたが，CMV既感染GBSでは軽症であった． |
| Author | 楠, 進 中田, 悠皓 荒木, 俊彦 |
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| References | 5) Yamada H, Noro N, Kato EH, et al: Massive intravenous immunoglobulin treatment in pregnancy complicated by Guillain-Barré syndrome. Eur J Obstet Gynecol Reprod Biol 2001; 97: 101-104 6) Chan LYS, Tsui MHY, Leung TN: Guillain-Barré syndrome in pregnancy. Acta Obstet Gynecol Scand 2004; 83: 319-325 1) 森 桂子, 祖父江元: 妊娠・分娩の神経学. 妊娠・分娩と末梢神経障害. 神経内科 2004; 61: 49-55 2) Cheng Q, Jiang GX, Fredrikson S, et al: Increased incidence of Guillain-Barré syndrome postpartum. Epidemiology 1998; 9: 601-604 7) 野村恭一: Guillain-Barré症候群に対する免疫グロブリン療法-こんな症例ではどうするIVIG療法-. 日本医事新報 2007; 4360: 57-63 4) Hurley TJ, Brunson AD, Archer RL, et al: Landry Guillain-Barré Strohl syndrome in pregnancy: Report of three cases treated with plasmapheresis. Obstet Gynecol 1991; 78: 482-485 3) Visser LH, van der Meché FG, Meulstee J, et al: Cytomegalovirus infection and Gullain-Barré syndrome: the clinical, electrophysiologic, and prognostic features. Dutch Gullain-Barré study Group. Neurology 1996; 47: 668-673 |
| References_xml | – reference: 5) Yamada H, Noro N, Kato EH, et al: Massive intravenous immunoglobulin treatment in pregnancy complicated by Guillain-Barré syndrome. Eur J Obstet Gynecol Reprod Biol 2001; 97: 101-104 – reference: 4) Hurley TJ, Brunson AD, Archer RL, et al: Landry Guillain-Barré Strohl syndrome in pregnancy: Report of three cases treated with plasmapheresis. Obstet Gynecol 1991; 78: 482-485 – reference: 7) 野村恭一: Guillain-Barré症候群に対する免疫グロブリン療法-こんな症例ではどうするIVIG療法-. 日本医事新報 2007; 4360: 57-63 – reference: 1) 森 桂子, 祖父江元: 妊娠・分娩の神経学. 妊娠・分娩と末梢神経障害. 神経内科 2004; 61: 49-55 – reference: 6) Chan LYS, Tsui MHY, Leung TN: Guillain-Barré syndrome in pregnancy. Acta Obstet Gynecol Scand 2004; 83: 319-325 – reference: 3) Visser LH, van der Meché FG, Meulstee J, et al: Cytomegalovirus infection and Gullain-Barré syndrome: the clinical, electrophysiologic, and prognostic features. Dutch Gullain-Barré study Group. Neurology 1996; 47: 668-673 – reference: 2) Cheng Q, Jiang GX, Fredrikson S, et al: Increased incidence of Guillain-Barré syndrome postpartum. Epidemiology 1998; 9: 601-604 |
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| Title | 妊娠後期に発症したGuillain-Barré症候群の2例 |
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