神經梅毒合并Miller-Fisher綜合征1例_Chinese Journal of Ocular Fundus Diseases

Authors：

郭思彤 ¹ , 江漢秋 ² ,  姜利斌 ¹

1. ;
2. ;

Corresponding?author：

姜利斌, Email: jlbjlb@sina.com

Keywords：

神經梅毒; 米勒·費希爾綜合征; 病例報告

DOI：

10.3760/cma.j.cn511434-20210601-00283

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Citation： 郭思彤, 江漢秋, 姜利斌. 神經梅毒合并Miller-Fisher綜合征1例. Chinese Journal of Ocular Fundus Diseases, 2022, 38(3): 238-240. doi: 10.3760/cma.j.cn511434-20210601-00283 Copy

1.	Wakerley BR, Uncini A, Yuki N, et al. Guillain-Barré and Miller Fisher syndromes-new diagnostic classification[J]. Nat Rev Neurol, 2014, 10(9): 537-544. DOI: 10.1038/nrneurol.2014.138.
2.	中華醫學會神經病學分會神經肌肉病學組, 中華醫學會神經病學分會肌電圖及臨床神經電生理學組, 中華醫學會神經病學分會神經免疫學組. 中國吉蘭-巴雷綜合征診治指南[J]. 中華神經科雜志, 2010, 43(8): 583-586. DOI: 10.3760/cma.j.issn.1006-7876.2010.08.018.Neuromuscular Group of Chinese Medical Association Neurology Branch, Electromyography and Clinical Neuroelectrophysiology Group of Chinese Medical Association Neurology Branch, Neuroimmunology Group of Chinese Medical Association Neurology Branch. Guidelines for diagnosis and treatment of Guillain-Barré syndrome in China[J]. Chin J Neurol, 2010, 43(8): 583-586. DOI: 10.3760/cma.j.issn.1006-7876.2010.08.018.
3.	中華人民共和國衛生行業標準-梅毒診斷[EB/OL]. (2021-06-01) [2018-03-06]. http://www.nhc.gov.cn/wjw/s9491/201803/5103a5425f9e47d29b91de38434b7f74.shtml.
4.	中國疾病預防控制中心性病控制中心, 中華醫學會皮膚性病學分會性病學組, 中國醫師協會皮膚科醫師分會性病亞專業委員會. 梅毒、淋病、生殖器皰疹、生殖道沙眼衣原體感染診療指南(2014)[J]. 中華皮膚科雜志, 2014, 47(5): 365-372. DOI: 10.3760/cma.j.issn.0412-4030.2014.05.022.Venereal Disease Control Center of Chinese Center for Disease Control and Prevention, Venereal Disease Sub-Committee of Dermatology Branch of Chinese Medical Association, Venereal Disease Sub-Committee of Dermatology Branch of Chinese Medical Association. Guidelines for the diagnosis and treatment of syphilis, gonorrhea, genital herpes, and genital tract Chlamydia trachomatis infection (2014)[J]. Chin J Dermatol, 2014, 47(5): 365-372. DOI: 10.3760/cma.j.issn.0412-4030.2014.05.022.
5.	李彬. 80例以復視為首發癥狀的眼外肌麻痹病因分析[J]. 臨床眼科雜志, 2014, 22(2): 165-168. DOI: 10.3969/j.issn.1006-8422.2014.02.023.Li B. Analysis of 80 cases of extraocular muscles paralysis with diplopia[J]. J Chin Ophthalmol, 2014, 22(2): 165-168. DOI: 10.3969/j.issn.1006-8422.2014.02.023.
6.	常現超, 俞虎, 嚴旺, 等. 以復視為主要癥狀的眼肌麻痹病因分析[J]. 中國現代醫生, 2020, 58(12): 106-109.Chang XC, Yu H, Yan W, et al. Analysis of etiology of ophthalmoplegia as a main symptom[J]. China Modern Doctor, 2020, 58(12): 106-109.
7.	謝小玲, 譚塔林, 林喜湘. 21例眼肌麻痹性復視臨床與病因探討[J]. 中國神經精神疾病雜志, 2000, 26(3): 171-172. DOI: 10.3969/j.issn.1002-0152.2000.03.020.Xie XL, Tan TL, Lin XX. Discussion on the clinical and etiological factors of 21 cases of ophthalmoplegic diplopia[J]. Chin J Nerv Ment Dis, 2000, 26(3): 171-172. DOI: 10.3969/j.issn.1002-0152.2000.03.020.
8.	于靜, 黃朔, 呂洋. 酷似吉蘭-巴雷綜合征的梅毒性腦脊髓膜炎1例報告[J]. 中風與神經疾病雜志, 2018, 35(7): 648.Yu J, Huang S, Lyu Y. A case report of syphilitic cerebrospinal meningitis resembling Guillain-Barré syndrome[J]. J Apoplexy and Nervous Diseases, 2018, 35(7): 648.
9.	蔡勝男, 許東梅, 王曉燕, 等. 眼梅毒患者臨床特征分析[J]. 中國艾滋病性病, 2018, 24(9): 919-922. DOI: 10.13419/j.cnki.aids.2018.09.16.Cai SN, Xu DM, Wang XY, et al. Clinical features of ocular syphilis patients[J]. Chin J AIDS STD, 2018, 24(9): 919-922. DOI: 10.13419/j.cnki.aids.2018.09.16.
10.	樊小娟, 趙杰, 魏世輝. 神經梅毒患者22例神經眼科表現分析[J]. 國際眼科雜志, 2017, 17(10): 1985-1988. DOI: 10.3980/j.issn.1672-5123.2017.10.50.Fan XJ, Zhao J, Wei SH. Neuro-ophthalmological manifestations of neurosyphilis in 22 cases[J]. Int Eye Sci, 2017, 17(10): 1985-1988. DOI: 10.3980/j.issn.1672-5123.2017.10.50.
11.	孫曉東, 劉暉, 施辛, 等. 以復視首診的二期梅毒一例[J]. 中華皮膚科雜志, 2008, 41(5): 317. DOI: 10.3321/j.issn:0412-4030.2008.05.027.Sun XD, Liu H, Shi X, et al. A case of secondary syphilis first diagnosed with diplopia[J]. Chin J Dermatol, 2008, 41(5): 317. DOI: 10.3321/j.issn:0412-4030.2008.05.027.
12.	Jordan K, Marino J, Damast M. Bilateral oculomotor paralysis due to neurosyphilis[J]. Ann Neurol, 1978, 3(1): 90-93. DOI: 10.1002/ana.410030114.
13.	Corr P, Bhigjee A, Lockhat F. Oculomotor nerve root enhancement in meningovascular syphilis[J]. Clin Radiol, 2004, 59(3): 294-296. DOI: 10.1016/j.crad.2003.10.019.
14.	Seeley WW, Venna N. Neurosyphilis presenting with gummatous oculomotor nerve palsy[J]. J Neurol Neurosurg Psychiatry, 2004, 75(5): 789. DOI: 10.1136/jnnp.2003.025932.
15.	孫培宏, 李愛莉, 孫杰, 等. 以動眼神經麻痹為首發癥狀的神經梅毒1例[J]. 中國皮膚性病學雜志, 2018, 32(4): 413-415. DOI: 10.13735/j.cjdv.1001-7089.20170061.Sun PH, Li AL, Sun J, et al. A case report of neurosyphilis with initial symptom oculomotor paralysis[J]. Chin J Derm Venereol, 2018, 32(4): 413-415. DOI: 10.13735/j.cjdv.1001-7089.20170061.
16.	袁婧, 高英, 關惠文, 等. 復視伴單側瞳孔散大的神經梅毒1例[J]. 中國皮膚性病學雜志, 2020, 34(3): 311-312. DOI: 10.13735/j.cjdv.1001-7089.201903124.Yuan J, Gao Y, Guan HW, et al. A case of neurosyphilis with diplopia and dilated left pupil[J]. Chin J Derm Venereol, 2020, 34(3): 311-312. DOI: 10.13735/j.cjdv.1001-7089.201903124.
17.	Sakai T, Shikishima K, Mizobuchi T, et al. Bilateral tonic pupils associated with neurosyphilis[J]. Jpn J Ophthalmol, 2003, 47(4): 368-371. DOI: 10.1016/s0021-5155(03)00058-3.
18.	Stepper F, Schroth G, Sturzenegger M. Neurosyphilis mimicking Miller-Fisher syndrome: a case report and MRI findings[J]. Neurology, 1998, 51(1): 269-271. DOI: 10.1212/wnl.51.1.269.
19.	邢燕蒙, 劉沛東, 張保朝, 等. Miller-Fisher 綜合征臨床特點及亞型診斷(附27例報告)[J]. 中國神經免疫學和神經病學雜志, 2016, 23(3): 203-206. DOI: 10.3969/j.issn.1006-2963.2016.03.011.Xing YM, Liu PD, Zhao BC, et al. Clinical features and subtype diagnosis of Miller-Fisher syndrome (report of 27 cases)[J]. Chin J Neuroimmunol & Neurol, 2016, 23(3): 203-206. DOI: 10.3969/j.issn.1006-2963.2016.03.011.
20.	馬蓮, 張其梅. 4例Miller Fisher綜合征臨床分析[J]. 神經損傷與功能重建, 2018, 13(1): 46-47. DOI: 10.16780/j.cnki.sjssgncj.2018.01.017.Ma L, Zhang QM. Clinical analysis of 4 cases of Miller Fisher syndrome[J]. Neural Injury And Functional Reconstrcution, 2018, 13(1): 46-47. DOI: 10.16780/j.cnki.sjssgncj.2018.01.017.
21.	龔金鋒, 蔡桂蘭, 王瑞金, 等. 非典型Miller Fisher綜合征2例[J]. 武警醫學, 2019, 30(2): 150-152. DOI: 10.3969/j.issn.1004-3594.2019.02.019.Gong JF, Cai GL, Wang RJ, et al. Two cases of atypical Miller Fisher syndrome[J]. Med J Chin PAP, 2019, 30(2): 150-152. DOI: 10.3969/j.issn.1004-3594.2019.02.019.
22.	劉書平, 盧祖能, 肖哲曼, 等. 吉蘭-巴雷綜合征病理學和免疫機制研究進展[J]. 中國神經免疫學和神經病學雜志, 2019, 26(1): 56-59. DOI: 10.3969/j.issn.1006-2963.2019.01.014.Liu SP, Lu ZN, Xiao ZM, et al. Research progress on pathology and immune mechanism of Guillain-Barré syndrome[J]. Chin J Neuroimmunol & Neurol, 2019, 26(1): 56-59. DOI: 10.3969/j.issn.1006-2963.2019.01.014.
23.	侯慧清, 苗軍, 曹潤菁, 等. Miller-Fisher 綜合征患者免疫球蛋白治療前后淋巴細胞亞群的變化[J]. 腦與神經疾病雜志, 2016(2): 99-101.Hou HQ, Miao J, Cao RJ, et al. Change of lymphocyte subsets in the patients with Miller-Fisher syndrome between pre and post-therapy with intravenous immunoglobulin[J]. Journal of Brain and Nervous Diseases, 2016(2): 99-101.
24.	高曉莉, 武錚, 王劍鋒, 等. 梅毒的細胞免疫學發病機制研究進展[J]. 中國艾滋病性病, 2020, 26(10): 1144-1146. DOI: 10.13419/j.cnki.aids.2020.10.33.Gao XL, Wu Z, Wang JF, et al. Research advances in pathogenesis of cytotoxicity of syphilis[J]. Chin J AIDS STD, 2020, 26(10): 1144-1146. DOI: 10.13419/j.cnki.aids.2020.10.33.
25.	唐利利, 程玉燕, 高金平, 等. 梅毒免疫學機制研究進展[J]. 中國麻風皮膚病雜志, 2017, 33(5): 317-320.Tang LL, Cheng YY, Gao JP, et al. Update of the immunopathogenesis of syphilis[J]. Chin J Lepr Skin Dis, 2017, 33(5): 317-320.
26.	陸明佳, 古麗尼沙·熱合曼, 朱沂, 等. 以吉蘭-巴雷綜合征表現起病的神經梅毒三例報道[J]. 中華神經醫學雜志, 2018, 17(10): 1054-1056. DOI: 10.3760/cma.j.issn.1671-8925.2018.10.018.Lu JM, Gulinisha·RHM, Zhu Y, et al. Three cases of neurosyphilis manifested as Guillain-Barré syndrome[J]. Chin J Neuromed, 2018, 17(10): 1054-1056. DOI: 10.3760/cma.j.issn.1671-8925.2018.10.018.
27.	朱真真, 張玉生, 郭黎. 梅毒相關性吉蘭-巴雷綜合征1例報告[J]. 中國神經精神疾病雜志, 2013(11): 683-684. DOI: 10.3936/j.issn.1002-0152.2013.11.012.Zhu ZZ, Zhang YS, Guo L. A case report of syphilis-related Guillain-Barré syndrome[J]. Chin J Nerv Ment Dis, 2013(11): 683-684. DOI: 10.3936/j.issn.1002-0152.2013.11.012.

1. Wakerley BR, Uncini A, Yuki N, et al. Guillain-Barré and Miller Fisher syndromes-new diagnostic classification[J]. Nat Rev Neurol, 2014, 10(9): 537-544. DOI: 10.1038/nrneurol.2014.138.
2. 中華醫學會神經病學分會神經肌肉病學組, 中華醫學會神經病學分會肌電圖及臨床神經電生理學組, 中華醫學會神經病學分會神經免疫學組. 中國吉蘭-巴雷綜合征診治指南[J]. 中華神經科雜志, 2010, 43(8): 583-586. DOI: 10.3760/cma.j.issn.1006-7876.2010.08.018.Neuromuscular Group of Chinese Medical Association Neurology Branch, Electromyography and Clinical Neuroelectrophysiology Group of Chinese Medical Association Neurology Branch, Neuroimmunology Group of Chinese Medical Association Neurology Branch. Guidelines for diagnosis and treatment of Guillain-Barré syndrome in China[J]. Chin J Neurol, 2010, 43(8): 583-586. DOI: 10.3760/cma.j.issn.1006-7876.2010.08.018.
3. 中華人民共和國衛生行業標準-梅毒診斷[EB/OL]. (2021-06-01) [2018-03-06]. http://www.nhc.gov.cn/wjw/s9491/201803/5103a5425f9e47d29b91de38434b7f74.shtml.
4. 中國疾病預防控制中心性病控制中心, 中華醫學會皮膚性病學分會性病學組, 中國醫師協會皮膚科醫師分會性病亞專業委員會. 梅毒、淋病、生殖器皰疹、生殖道沙眼衣原體感染診療指南(2014)[J]. 中華皮膚科雜志, 2014, 47(5): 365-372. DOI: 10.3760/cma.j.issn.0412-4030.2014.05.022.Venereal Disease Control Center of Chinese Center for Disease Control and Prevention, Venereal Disease Sub-Committee of Dermatology Branch of Chinese Medical Association, Venereal Disease Sub-Committee of Dermatology Branch of Chinese Medical Association. Guidelines for the diagnosis and treatment of syphilis, gonorrhea, genital herpes, and genital tract Chlamydia trachomatis infection (2014)[J]. Chin J Dermatol, 2014, 47(5): 365-372. DOI: 10.3760/cma.j.issn.0412-4030.2014.05.022.
5. 李彬. 80例以復視為首發癥狀的眼外肌麻痹病因分析[J]. 臨床眼科雜志, 2014, 22(2): 165-168. DOI: 10.3969/j.issn.1006-8422.2014.02.023.Li B. Analysis of 80 cases of extraocular muscles paralysis with diplopia[J]. J Chin Ophthalmol, 2014, 22(2): 165-168. DOI: 10.3969/j.issn.1006-8422.2014.02.023.
6. 常現超, 俞虎, 嚴旺, 等. 以復視為主要癥狀的眼肌麻痹病因分析[J]. 中國現代醫生, 2020, 58(12): 106-109.Chang XC, Yu H, Yan W, et al. Analysis of etiology of ophthalmoplegia as a main symptom[J]. China Modern Doctor, 2020, 58(12): 106-109.
7. 謝小玲, 譚塔林, 林喜湘. 21例眼肌麻痹性復視臨床與病因探討[J]. 中國神經精神疾病雜志, 2000, 26(3): 171-172. DOI: 10.3969/j.issn.1002-0152.2000.03.020.Xie XL, Tan TL, Lin XX. Discussion on the clinical and etiological factors of 21 cases of ophthalmoplegic diplopia[J]. Chin J Nerv Ment Dis, 2000, 26(3): 171-172. DOI: 10.3969/j.issn.1002-0152.2000.03.020.
8. 于靜, 黃朔, 呂洋. 酷似吉蘭-巴雷綜合征的梅毒性腦脊髓膜炎1例報告[J]. 中風與神經疾病雜志, 2018, 35(7): 648.Yu J, Huang S, Lyu Y. A case report of syphilitic cerebrospinal meningitis resembling Guillain-Barré syndrome[J]. J Apoplexy and Nervous Diseases, 2018, 35(7): 648.
9. 蔡勝男, 許東梅, 王曉燕, 等. 眼梅毒患者臨床特征分析[J]. 中國艾滋病性病, 2018, 24(9): 919-922. DOI: 10.13419/j.cnki.aids.2018.09.16.Cai SN, Xu DM, Wang XY, et al. Clinical features of ocular syphilis patients[J]. Chin J AIDS STD, 2018, 24(9): 919-922. DOI: 10.13419/j.cnki.aids.2018.09.16.
10. 樊小娟, 趙杰, 魏世輝. 神經梅毒患者22例神經眼科表現分析[J]. 國際眼科雜志, 2017, 17(10): 1985-1988. DOI: 10.3980/j.issn.1672-5123.2017.10.50.Fan XJ, Zhao J, Wei SH. Neuro-ophthalmological manifestations of neurosyphilis in 22 cases[J]. Int Eye Sci, 2017, 17(10): 1985-1988. DOI: 10.3980/j.issn.1672-5123.2017.10.50.
11. 孫曉東, 劉暉, 施辛, 等. 以復視首診的二期梅毒一例[J]. 中華皮膚科雜志, 2008, 41(5): 317. DOI: 10.3321/j.issn:0412-4030.2008.05.027.Sun XD, Liu H, Shi X, et al. A case of secondary syphilis first diagnosed with diplopia[J]. Chin J Dermatol, 2008, 41(5): 317. DOI: 10.3321/j.issn:0412-4030.2008.05.027.
12. Jordan K, Marino J, Damast M. Bilateral oculomotor paralysis due to neurosyphilis[J]. Ann Neurol, 1978, 3(1): 90-93. DOI: 10.1002/ana.410030114.
13. Corr P, Bhigjee A, Lockhat F. Oculomotor nerve root enhancement in meningovascular syphilis[J]. Clin Radiol, 2004, 59(3): 294-296. DOI: 10.1016/j.crad.2003.10.019.
14. Seeley WW, Venna N. Neurosyphilis presenting with gummatous oculomotor nerve palsy[J]. J Neurol Neurosurg Psychiatry, 2004, 75(5): 789. DOI: 10.1136/jnnp.2003.025932.
15. 孫培宏, 李愛莉, 孫杰, 等. 以動眼神經麻痹為首發癥狀的神經梅毒1例[J]. 中國皮膚性病學雜志, 2018, 32(4): 413-415. DOI: 10.13735/j.cjdv.1001-7089.20170061.Sun PH, Li AL, Sun J, et al. A case report of neurosyphilis with initial symptom oculomotor paralysis[J]. Chin J Derm Venereol, 2018, 32(4): 413-415. DOI: 10.13735/j.cjdv.1001-7089.20170061.
16. 袁婧, 高英, 關惠文, 等. 復視伴單側瞳孔散大的神經梅毒1例[J]. 中國皮膚性病學雜志, 2020, 34(3): 311-312. DOI: 10.13735/j.cjdv.1001-7089.201903124.Yuan J, Gao Y, Guan HW, et al. A case of neurosyphilis with diplopia and dilated left pupil[J]. Chin J Derm Venereol, 2020, 34(3): 311-312. DOI: 10.13735/j.cjdv.1001-7089.201903124.
17. Sakai T, Shikishima K, Mizobuchi T, et al. Bilateral tonic pupils associated with neurosyphilis[J]. Jpn J Ophthalmol, 2003, 47(4): 368-371. DOI: 10.1016/s0021-5155(03)00058-3.
18. Stepper F, Schroth G, Sturzenegger M. Neurosyphilis mimicking Miller-Fisher syndrome: a case report and MRI findings[J]. Neurology, 1998, 51(1): 269-271. DOI: 10.1212/wnl.51.1.269.
19. 邢燕蒙, 劉沛東, 張保朝, 等. Miller-Fisher 綜合征臨床特點及亞型診斷(附27例報告)[J]. 中國神經免疫學和神經病學雜志, 2016, 23(3): 203-206. DOI: 10.3969/j.issn.1006-2963.2016.03.011.Xing YM, Liu PD, Zhao BC, et al. Clinical features and subtype diagnosis of Miller-Fisher syndrome (report of 27 cases)[J]. Chin J Neuroimmunol & Neurol, 2016, 23(3): 203-206. DOI: 10.3969/j.issn.1006-2963.2016.03.011.
20. 馬蓮, 張其梅. 4例Miller Fisher綜合征臨床分析[J]. 神經損傷與功能重建, 2018, 13(1): 46-47. DOI: 10.16780/j.cnki.sjssgncj.2018.01.017.Ma L, Zhang QM. Clinical analysis of 4 cases of Miller Fisher syndrome[J]. Neural Injury And Functional Reconstrcution, 2018, 13(1): 46-47. DOI: 10.16780/j.cnki.sjssgncj.2018.01.017.
21. 龔金鋒, 蔡桂蘭, 王瑞金, 等. 非典型Miller Fisher綜合征2例[J]. 武警醫學, 2019, 30(2): 150-152. DOI: 10.3969/j.issn.1004-3594.2019.02.019.Gong JF, Cai GL, Wang RJ, et al. Two cases of atypical Miller Fisher syndrome[J]. Med J Chin PAP, 2019, 30(2): 150-152. DOI: 10.3969/j.issn.1004-3594.2019.02.019.
22. 劉書平, 盧祖能, 肖哲曼, 等. 吉蘭-巴雷綜合征病理學和免疫機制研究進展[J]. 中國神經免疫學和神經病學雜志, 2019, 26(1): 56-59. DOI: 10.3969/j.issn.1006-2963.2019.01.014.Liu SP, Lu ZN, Xiao ZM, et al. Research progress on pathology and immune mechanism of Guillain-Barré syndrome[J]. Chin J Neuroimmunol & Neurol, 2019, 26(1): 56-59. DOI: 10.3969/j.issn.1006-2963.2019.01.014.
23. 侯慧清, 苗軍, 曹潤菁, 等. Miller-Fisher 綜合征患者免疫球蛋白治療前后淋巴細胞亞群的變化[J]. 腦與神經疾病雜志, 2016(2): 99-101.Hou HQ, Miao J, Cao RJ, et al. Change of lymphocyte subsets in the patients with Miller-Fisher syndrome between pre and post-therapy with intravenous immunoglobulin[J]. Journal of Brain and Nervous Diseases, 2016(2): 99-101.
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