길랑-바레 양상으로 발현한 무통성 대동맥 박리 1례

Painless Aortic Dissection Simulating Guillain-Barré Syndrome

  • 오은진 (인제대학교 의과대학 일산백병원 신경과) ;
  • 정상욱 (인제대학교 의과대학 일산백병원 신경과) ;
  • 박종관 (인제대학교 의과대학 일산백병원 신경과) ;
  • 홍근식 (인제대학교 의과대학 일산백병원 신경과)
  • Oh, Eun-Jin (Department of Neurology, Inje University College of Medicine, Ilsan Paik Hospital) ;
  • Jeong, Sang-Wuk (Department of Neurology, Inje University College of Medicine, Ilsan Paik Hospital) ;
  • Park, Jong-Kwan (Department of Neurology, Inje University College of Medicine, Ilsan Paik Hospital) ;
  • Hong, Keun-Sik (Department of Neurology, Inje University College of Medicine, Ilsan Paik Hospital)
  • 발행 : 2005.05.31

초록

A 61-year-old man with an antecedent febrile illness presented with progressive flaccid paraparesis, but no sensory or sphincter involvement. Magnetic resonance imaging (MRI) of the spine was negative and nerve conduction study (NCS) showed the absence of F-waves in his legs, suggesting $Guillain-Barr{\acute{e}}$ syndrome (GBS). However, abdominal pain after admission led to the consideration of the spinal cord ischemia secondary to aortic dissection confirmed by computed tomography. We report the rare condition of painless aortic dissection simulating GBS.

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