Distinguishing acuteonset CIDP from Guillain-Barre syndrome with treatment related fluctuations

被引:98
作者
Ruts, L [1 ]
van Koningsveld, R [1 ]
van Doorn, PA [1 ]
机构
[1] Erasmus MC, Dept Neurol, Rotterdam, Netherlands
关键词
D O I
10.1212/01.wnl.0000167549.09664.b8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Guillain-Barre syndrome (GBS) patients may worsen after initial treatment (treatment- related fluctuation [TRF]). It is difficult to distinguish GBS-TRF from chronic inflammatory demyelinating polyneuropathy with acute onset (A-CIDP). The authors compared 13 patients with A-CIDP with 11 patients with GBS-TRF and concluded that A-CIDP should be suspected when a patient with GBS deteriorates after 9 weeks from onset or when deterioration occurs three times or more. Maintenance treatment should then be considered.
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收藏
页码:138 / 140
页数:3
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