A case of Guillain-Barré syndrome with meningeal irritation

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• 作者：Yuka Ashikari ; Satoru Kobayashi ; ^{kobasato@muf.biglobe.ne.jp" class="auth_mail" title="E-mail the corresponding author} ; Akari Tago ; Mizuki Yoneyama ; Midori Ito ; Keiko Fukuda ; Yoshifumi Mizuno ; Yuko Tsunoda ; Seiki Shimizu ; Kyoko Yokoi ; Naomi Kamioka ; Naoki Hamajima ; Satoshi Suzuki
• 关键词：Guillain&ndash ; Barré ; syndrome ; Acute inflammatory demyelinating polyneuropathy ; Neck stiffness ; Meningeal irritation
• 刊名：Brain and Development
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：38
• 期：1
• 页码：163-166
• 全文大小：490 K

文摘

Here, we report a 5-year-old girl with Guillain–Barré 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–Barré 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–Barré syndrome to achieve early diagnosis and treatment.