ホシノ タカオ   HOSHINO TAKAO
  星野 岳郎
   所属   医学部 医学科(東京女子医科大学病院)
   職種   講師
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
表題 Simultaneous development of acute disseminated encephalomyelitis and Guillain-Barre syndrome associated with H1N1 09 influenza vaccination
掲載誌名 正式名:Internal Medicine
略  称:Intern Med
ISSNコード:13497235
巻・号・頁 51(12),pp.1595-1598
著者・共著者 Hoshino Takaho†*, Uchiyama Yumiko, Ito Eiichi, Osawa Shunsuke, Ohashi Takashi
担当区分 筆頭著者,責任著者
発行年月 2012/06
概要 A 36-year-old man was admitted to our hospital because of urinary retention and muscle weakness affecting all 4 limbs after receiving a H1N1 09 influenza vaccination. Magnetic resonance imaging demonstrated multiple lesions in his brain and spinal cord. Furthermore, nerve conduction study showed acute sensorimotor neuropathy, and anti-GM2 antibodies were detected in his serum. Based on the temporal association and exclusion of alternative etiologies, we made a diagnosis of acute disseminated encephalomyelitis (ADEM) and Guillain-Barré syndrome (GBS). To our knowledge, this is the first case of co-morbid ADEM and GBS after influenza vaccination with positive anti-ganglioside antibodies.
DOI 10.2169/internalmedicine.51.7132