期刊
JOURNAL OF CHILD NEUROLOGY
卷 25, 期 12, 页码 1504-1510出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/0883073810370481
关键词
Guillain-Barre syndrome; pediatrics; demyelinating disease
The authors describe the demographics, clinical presentation, investigation, treatment, and outcomes of pediatric patients with Guillain-Barre syndrome. They identified 35 pediatric patients with Guillain-Barre syndrome presenting to a tertiary academic center over a 20-year period. The most common presenting symptoms were paresthesias (54%), weakness (49%), and myalgias (49%). Sensation was affected in 54% of patients, and hyporeflexia or areflexia was present in 94% of patients. Cranial nerve dysfunction (46%) and autonomic involvement (eg, changes in blood pressure, pulse, bowel/bladder control, or priapism; 46%) were also common. Autonomic dysfunction, cranial nerve involvement, and albuminocytological dissociation were significantly associated with a decreased time to nadir, the point when symptoms peaked (P = .015, .007, and .005, respectively). Although not statistically significant, treatment with plasmapheresis had a better success rate than intravenous immunoglobulin. The authors' results will help to further delineate the clinical picture of Guillain-Barre syndrome in children and refine treatment strategies.
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