A case of Guillain–Barré syndrome with meningeal irritation
| Autor: | Satoru Kobayashi, Kyoko Yokoi, Akari Tago, Mizuki Yoneyama, Yoshifumi Mizuno, Yuko Tsunoda, Satoshi Suzuki, Naoki Hamajima, Seiki Shimizu, Naomi Kamioka, Keiko Fukuda, Midori Ito, Yuka Ashikari |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Guillain-Barre syndrome Nerve root business.industry 030232 urology & nephrology Cauda equina Magnetic resonance imaging General Medicine medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Intravenous Immunoglobulin Therapy medicine.anatomical_structure Developmental Neuroscience Anesthesia Pediatrics Perinatology and Child Health medicine Neurology (clinical) Differential diagnosis business Neck stiffness Meningitis 030217 neurology & neurosurgery |
| Zdroj: | Brain and Development. 38:163-166 |
| ISSN: | 0387-7604 |
| DOI: | 10.1016/j.braindev.2015.06.001 |
| Popis: | Here, we report a 5-year-old girl with Guillain-Barre syndrome who presented with a chief complaint of pain in the extremities, which was followed by neck stiffness. Bladder dysfunction was found, which required catheterization. Magnetic resonance imaging revealed marked enhancement of the nerve roots in the cauda equina on T1-weighted imaging after gadolinium injection, and nerve conduction studies led to a diagnosis of Guillain-Barre syndrome. Her symptoms improved after intravenous immunoglobulin therapy, but her neck stiffness remained 16 days after admission. Four weeks after admission, she could walk without support. As patients with signs of meningeal irritation may be diagnosed with other diseases, such as meningitis, it is important to recognize atypical cases of pediatric Guillain-Barre syndrome to achieve early diagnosis and treatment. |
| Databáze: | OpenAIRE |
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