[A case of @entity697 with @entity129 and @entity75 --possible evidence of encephalo-myelo-radiculo- XXXX ].

@entity129 @entity1 @entity410 @entity697 @entity1688 @entity2610 @entity4894 @entity75 @entity16 @entity1939 @entity4610 @entity1576 @entity25
We report a case of @entity697 with @entity129 and @entity75 . A @entity1 , born on July 26, 1987, developed unusual sensation on the extremities, backache and @entity25 on June 23, 1996. On July 2, following a complaint of @entity1939 he developed a @entity410 and was admitted to our hospital. Neurological examination revealed intact consciousness, severe external @entity4610 , bifacial palsy and generalized areflexia. On the next day, flaccid @entity1688 and @entity1576 developed and progressed without disturbance of consciousness. After tracheal intubation he was under mechanical ventilation. A lumbar puncture examination showed clear CSF with increased protein 166 mg/dl. no cells and normal @entity2610 . Serum antibodies against gangliosides (GM1, asialo-GM1, GD1b and GQ1b) were not detected. A posterior tibial nerve conduction velocity was mildly delayed with disappearance of F- wave. On the other hand, very slow background activity was shown by EEG, extensive focal hypoperfusion of cerebral blood flow by SPECT and supratentorial multiple high intensity lesions by T2 weighted MRI of the brain. There were no abnormal signals in the brainstem and cerebellum on MRI. His condition dramatically improved after plasmapheresis. The abnormal findings of SPECT and MRI promptly disappeared within 3 weeks, although abnormal signs on EEG persisted. He was successfully weaned off the respirator and recovered strength of the limbs. He was discharged on August 28, 1996, with supported walk and bifacial palsy, then he completely recovered by 7 months. The condition of case was compatible with 'encephalo-myelo-radiculo- @entity16 ', a disease entity that had previously been reported in a few @entity1 in whom with Guillain-Barr   or @entity4894 and cerebral symptoms co-existed.
