Prominent sensory ataxia in Guillain-Barre syndrome associated with IgG anti-GD1b antibody

被引:29
作者
Wicklein, EM [1 ]
Pfeiffer, G [1 ]
Yuki, N [1 ]
Hartard, C [1 ]
Kunze, K [1 ]
机构
[1] DOKKYO UNIV,SCH MED,DEPT NEUROL,MIBU,TOCHIGI 32102,JAPAN
关键词
Guillain-Barre syndrome; acute sensory neuropathy; anti-ganglioside antibody; anti-GD1b antibody;
D O I
10.1016/S0022-510X(97)00136-6
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Sensitization with GD1b has been shown to cause sensory neuropathy in rabbit. A patient with chronic sensory-dominant polyneuropathy who had IgM antibody specifically to GD1b has been reported previously. This report describes the first patient with acute demyelinating polyneuropathy with prominent sensory symptoms who had a high titer of serum IgG anti-GD1b antibody. The serum reacted with neither GM1 nor with other b-series gangliosides (GD2, GD3, GT1b and GQ1b). Improvement in symptoms was coincident with decrease in IgG anti-GD1b antibody titer after plasmapheresis. This case supports the experimental results in rabbit suggesting that anti-GD1b antibody functions in the development of sensory ataxia. (C) 1997 Elsevier Science B.V.
引用
收藏
页码:227 / 229
页数:3
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