Guillain-Barre Syndrome with Optic Neuritis and a Focal Lesion in the Central White Matter Following Epstein-Barr Virus Infection
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概要
- 論文の詳細を見る
We report a case of Guillain-Barré syndrome (GBS) accompanied by optic neuritis and a central white matter lesion subsequent to Epstein-Barr virus (EBV) infection. A 49-year-old man presented with visual disturbance and hemiparesis one week after developing cold-like symptoms. T2- and diffusion-weighted brain MRI showed a high-signal intensity lesion in the left internal capsule. The patient's visual acuity improved during steroid pulse therapy, but his hemiparesis progressed to quadriparesis. Nerve conduction studies showed demyelination predominant in the distal nerve terminals, consistent with GBS. Serological testing suggested EBV reinfection. Our findings indicate that EBV-related central and peripheral demyelination can occur simultaneously and can be successfully treated with a combination of corticosteroids and immunoglobulin.
- 社団法人 日本内科学会の論文
著者
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Kim Yeong
Department Of Mathematics And Center For Applied Mathematics Korea Advanced Institute Of Science And
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An Jae
Department Of Materials Science And Engineering Inha University
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Kim Joong
Department Of Chemistry Korea Advanced Institute Of Science And Technology
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Song In
Department of Advanced Material Engineering, Daejeon University, Daejeon 300-716, Republic of Korea
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Lee Kwang
Department of Advanced Technology Fusion (DATF), Konkuk University, 1 Hwayang-dong, Gwangjin-gu, Seoul 143-701, Korea
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Song In
Department of Neurology, College of Medicine, The Catholic University of Korea
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Kim Yeong
Department of Neurology, College of Medicine, The Catholic University of Korea
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Yoon Bora
Department of Neurology, College of Medicine, The Catholic University of Korea
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