[Pediatric Guillain-Barré syndrome. Experience in the Neuropediatrics Unit of a Portuguese hospital]. / Síndrome de Guillain-Barré en edad pediátrica. Experiencia de la Unidad de Neuropediatría de un hospital portugués.
Rev Neurol
; 42(3): 144-9, 2006.
Article
em Es
| MEDLINE
| ID: mdl-16475135
ABSTRACT
INTRODUCTION:
Guillain-Barré syndrome (GBS) is an acute inflammatory ascending polyradiculoneuropathy. Autoimmune mechanisms play a role in the demyelinating process. Clinically, progressive symmetric loss of motor strength, areflexia, sensitive and autonomic manifestations are observed. Albuminocytological dissociation and electrophysiological signs of demyelination are frequently found. It is the most common cause of acute flaccid paralysis in children. PATIENTS ANDMETHODS:
Retrospective review of all children with GBS admitted to Garcia de Orta Hospital in a 10 year period (1994-2003).RESULTS:
17 children (18 months to 14 years) were admitted during this period. Respiratory or gastrointestinal prodrome was identified in 15 children, with positive serologic studies in six. The main clinical manifestations were disturbances of gait, progressive muscular weakness, sensitive manifestations (pain, paresthesias) and osteotendinous areflexia. 13 children had albuminocytological dissociation and acute demyelinating neuropathy was identified in 12.64% of children were treated with immunoglobulins (2 g/kg). Clinical evolution was favourable in 16 cases, with a death secondary to autonomic dysfunction.CONCLUSIONS:
Clinical presentation may be unspecific, particularly in young patients, with pain as a primary complaint, preceding muscular weakness and areflexia. Increased cerebrospinal protein and abnormal electrodiagnostic studies may be absent in the early course of GBS. Immunoglobulin therapy was efficacious and well-tolerated.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pediatria
/
Síndrome de Guillain-Barré
/
Unidades Hospitalares
/
Neurologia
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
País/Região como assunto:
Europa
Idioma:
Es
Revista:
Rev Neurol
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Portugal
País de publicação:
ES
/
ESPANHA
/
ESPAÑA
/
SPAIN