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KMID : 0363320010220030453
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Journal of Korean Oriental Internal Medicine
2001 Volume.22 No. 3 p.453 ~ p.458
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Report on the Guillain-Barre Syndrome with Autonomic Dysfunction(1 Case)
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Kim Kwan-Sick
Kim Dong-Woung
Shin Sun-Ho
Cho Gwon-Il
Shin Hak-Su
Han Myung-A
Choi Jin-Young
Choi Woo-Jung
Yang Jae-Hun
Chung Yong-Jun
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Abstract
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Guillain-Barre syndrome, or acute inflammatory demyelinating Polyradiculoneuropathy, is frequently accompanied by cardiac and autonomic dysfunction. We report a patient who had tachycardia, orthostatic hypotension, hypertension, pronounced blood pressure fluctuations, abnormal sweating, constipation and urinary frequency as well as qudriparesis. We thought that the GBS was incurred by Damp-Heat, used Heat-Clearing and Dampness-Transforming decoction(Chongjoo-tang) in the early stage. In the later stage, fortifying the Spleen and Boosting Qi plus Supplementing the Kidney decoction(Palmultang+chongawon) was used to remove low back pain and boost recovery.
The patient reached the nadir 14 days after onset. He became bed-bound and autonomic dysfunction was very severe. From 3rd week, abnormalities of autonomic function and paresis impoved gradually and he could walk above 5m without walker or equivalent support at the 5th week after onset.
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KEYWORD
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Guillain-Barre Syndrome, Autonomic Dysfunction, Oudriparesis
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