Landry-Guillain-Barré syndrome; treatment with ACTH and cortisone.

نویسنده

  • S FAZLULLAH
چکیده

Landry paralysis and the Guillain-Barre syndrome are not distinct entities and the differentiation, between these two diseases, is artificial (Lewy, 1945). Haymaker and Kernohan (I949) in their review on these diseases, supporting Lewy's view, proposed a new terminology of Landy-Guillain-Barre syndrome. Landry in I859 made the earliest description of the Guillain-Barre syndrome. Osler in I892 described a febrile illness followed by paralysis and attempted to differentiate it from Landry's paralysis. Kennedy, following his World War i observations, pointed to proximal weakness and distal sensory loss. Guillain, 1936, reviewed his observations and emphasized its favourable prognosis. The outcome of the disease is not always favourable. The common cause of death is respiratory failure, but occasionally cardio-vascular complications do occur, resulting in acute circulatory collapse with hypotension. Haymaker and Kemohan (I949) found circulatory failure responsible for the death of three patients in 50 fatal cases. Sometimes spontaneous recovery can occur without fatality. In the present clinical material three cases have been described which differ from classical description in selective muscular weakness and sensory distribution. These have been treated with ACTH and Cortisone.

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عنوان ژورنال:
  • Postgraduate medical journal

دوره 32 365  شماره 

صفحات  -

تاریخ انتشار 1956