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Vol. 24. Núm. 8.
Páginas 371-373 (noviembre 2000)
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Vol. 24. Núm. 8.
Páginas 371-373 (noviembre 2000)
Acceso a texto completo
AMAN o síndrome axonal difuso
Aman or diffused axonal syndrome
Visitas
23376
J. Bellapart Rubio1, M.J. Castro Orejales, C. Fernández Vidaurre, A. Claramunt Suau, A. Roglan Piqueres, L.I. Marruecos Sant
Servicio de Medicina Intensiva. Hospital de Sant Pau. Barcelona
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Resumen
Bibliografía
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Estadísticas

Presentamos un caso clínico de neuropatía axonal motora aguda en un varón adulto, la orientación diagnóstica fue corroborada por electromiografía y detección de anticuerpos específicos GM1. El rasgo semiológico predominante fue la plejÍa generalizada, en la que participaba la musculatura respiratoria por lo que precisó ventilación mecánica prolongada.

El paciente presentó varias infecciones intercurrentes, motivo finalmente de su éxitus.

Palabras clave:
lesión axonal
anticuerpos antigangliósidos
Campylobacter

We report here a clinical case of acute motor axonal neuropathy in an adult male. The diagnostic orientation was corroborated by electromiophysiology and detection of specific gm1 antibodies. The predominant semiologic trait was the generalised plegia with participation of respiratory muscles which prompted prolonged mechanical ventilation.

The patient had some intercurrent infections which ultimately led to a fatal outcome.

Key words:
Axonal injury
Antiganglioside antibodies
Campylobacter
El Texto completo está disponible en PDF
Bibliografía
[1.]
T.W. Ho, C.Y. Li.
Patterns of recovery in the Guillain-Barré syndromes.
Neurology, 48 (1997), pp. 695-700
[2.]
S. Kuwara, Yuki Nobuhiro.
IgG Anti GM1 antibody is associated with reversible conduction failure and axonal degeneration in Guillain Barre syndrome.
Ann Neurol, 44 (1998), pp. 202-208
[3.]
R.D. Haden, D.R. Cornblath.
Electrophysiological Classification of Guillain Barre syndrome: Clinical associations and outcome.
Ann Neurol, 44 (1998), pp. 780-788
[4.]
K.A. Sheikh, I. Nachamkin.
Campylobacter jejuni lipopolisaccharides in Guillain Barre syndrome.
Neurology, 51 (1998), pp. 371-378
[5.]
S. Kuwabara, M. Asahina.
Two patterns of clinical recovery in Guillain Barre syndrome with igG anti-GM1 antibody.
Neurology, 51 (1998), pp. 1.656-1.660
[6.]
C. Bart, M.D. Jacobs.
Campylobacter jejuni infections and Anti-GM1 Antibodies in Guillain Barre syndrome.
Ann Neurol, 40 (1996), pp. 181-187
[7.]
T.W. Ho, S.T. Hsieh.
Motor nerve terminal degeneration provides a potential mechanism for rapid recovery in acute motor axonal neuropathy after Campylobacter infection.
Neulogy, 48 (1997), pp. 717-724
Copyright © 2000. Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias (SEMICYUC) and Elsevier España, S.L.
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