| Autor: |
J M, Wilmshurst, N H, Thomas, R O, Robinson, J B, Bingham, K R, Pohl |
| Rok vydání: |
2001 |
| Předmět: |
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| Zdroj: |
Acta paediatrica (Oslo, Norway : 1992). 90(6) |
| ISSN: |
0803-5253 |
| Popis: |
This study assesses the frequency of lower limb and back pain in children with Guillain-Barré syndrome and reviews the magnetic resonance imaging results of those undergoing spinal imaging. Over an 8-y period, nine children presented with various combinations of severe back pain, leg pains, impairment of gait and bladder dysfunction. Guillain-Barré syndrome was confirmed on clinical examination and peripheral electrophysiology (n = 8). Magnetic resonance imaging in four patients, following contrast injection, showed enhancement of the cauda equine and, additionally, of the cervical nerve roots in one of the patients. A further patient, who was not scanned with contrast, had abnormal thickening of the lumbar roots. Carbamazepine and steroids were effectively used for analgesia in three cases. All the patients recovered.Guillain-Barré syndrome should be considered in the differential diagnosis of children presenting with back and/or leg pain. Early diagnosis ensures prompt monitoring for autonomic dysfunction and respiratory compromise. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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