A case of Guillain–Barré syndrome with meningeal irritation
Abstract 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...
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| Veröffentlicht in: | Brain & development (Tokyo. 1979) 2016-01, Vol.38 (1), p.163-166 |
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| container_title | Brain & development (Tokyo. 1979) |
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| creator | Ashikari, Yuka Kobayashi, Satoru Tago, Akari Yoneyama, Mizuki Ito, Midori Fukuda, Keiko Mizuno, Yoshifumi Tsunoda, Yuko Shimizu, Seiki Yokoi, Kyoko Kamioka, Naomi Hamajima, Naoki Suzuki, Satoshi |
| description | Abstract 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. |
| doi_str_mv | 10.1016/j.braindev.2015.06.001 |
| format | Article |
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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.</description><identifier>ISSN: 0387-7604</identifier><identifier>EISSN: 1872-7131</identifier><identifier>DOI: 10.1016/j.braindev.2015.06.001</identifier><identifier>PMID: 26403311</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Acute inflammatory demyelinating polyneuropathy ; Child, Preschool ; Diagnosis, Differential ; Early Diagnosis ; Female ; Guillain-Barre Syndrome - diagnosis ; Guillain-Barre Syndrome - pathology ; Guillain-Barre Syndrome - physiopathology ; Guillain-Barre Syndrome - therapy ; Guillain–Barré syndrome ; Humans ; Immunoglobulins, Intravenous - therapeutic use ; Immunologic Factors - therapeutic use ; Magnetic Resonance Imaging ; Meningeal irritation ; Meninges - pathology ; Neck stiffness ; Neurology ; Spinal Cord - pathology</subject><ispartof>Brain & development (Tokyo. 1979), 2016-01, Vol.38 (1), p.163-166</ispartof><rights>The Japanese Society of Child Neurology</rights><rights>2015 The Japanese Society of Child Neurology</rights><rights>Copyright © 2015 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-bfc100ac4f9233c3627eee71d7aa4b50b5adae9dfaaf87aca601a5875c3c82493</citedby><cites>FETCH-LOGICAL-c447t-bfc100ac4f9233c3627eee71d7aa4b50b5adae9dfaaf87aca601a5875c3c82493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.braindev.2015.06.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26403311$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ashikari, Yuka</creatorcontrib><creatorcontrib>Kobayashi, Satoru</creatorcontrib><creatorcontrib>Tago, Akari</creatorcontrib><creatorcontrib>Yoneyama, Mizuki</creatorcontrib><creatorcontrib>Ito, Midori</creatorcontrib><creatorcontrib>Fukuda, Keiko</creatorcontrib><creatorcontrib>Mizuno, Yoshifumi</creatorcontrib><creatorcontrib>Tsunoda, Yuko</creatorcontrib><creatorcontrib>Shimizu, Seiki</creatorcontrib><creatorcontrib>Yokoi, Kyoko</creatorcontrib><creatorcontrib>Kamioka, Naomi</creatorcontrib><creatorcontrib>Hamajima, Naoki</creatorcontrib><creatorcontrib>Suzuki, Satoshi</creatorcontrib><title>A case of Guillain–Barré syndrome with meningeal irritation</title><title>Brain & development (Tokyo. 1979)</title><addtitle>Brain Dev</addtitle><description>Abstract 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.</description><subject>Acute inflammatory demyelinating polyneuropathy</subject><subject>Child, Preschool</subject><subject>Diagnosis, Differential</subject><subject>Early Diagnosis</subject><subject>Female</subject><subject>Guillain-Barre Syndrome - diagnosis</subject><subject>Guillain-Barre Syndrome - pathology</subject><subject>Guillain-Barre Syndrome - physiopathology</subject><subject>Guillain-Barre Syndrome - therapy</subject><subject>Guillain–Barré syndrome</subject><subject>Humans</subject><subject>Immunoglobulins, Intravenous - therapeutic use</subject><subject>Immunologic Factors - therapeutic use</subject><subject>Magnetic Resonance Imaging</subject><subject>Meningeal irritation</subject><subject>Meninges - pathology</subject><subject>Neck stiffness</subject><subject>Neurology</subject><subject>Spinal Cord - pathology</subject><issn>0387-7604</issn><issn>1872-7131</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUFu1TAQhi1ERR-FK1RZskmYsZM4b1NRKlqQKnVRWFsTZwJ-JE6xk1Zvxx16Cs7BTThJ_fRaFmxYefP9_4y_EeIYoUDA-u2maAM53_FtIQGrAuoCAJ-JFTZa5hoVPhcrUI3OdQ3loXgZ4wYSIRFeiENZl6AU4kqcnGaWImdTn10sbhhS55-f9-8phN-_srj1XZhGzu7c_C0b2Tv_lWnIXAhuptlN_pU46GmI_PrxPRJfzj98PvuYX15dfDo7vcxtWeo5b3uLAGTLfi2VsqqWmpk1dpqobCtoK-qI111P1DeaLNWAVDW6sso2slyrI_Fm33sTph8Lx9mMLlpO-3qelmhQV1JVSjc6ofUetWGKMXBvboIbKWwNgtm5Mxvz5M7s3BmoTTKTgsePM5Z25O5v7ElWAt7tAU4_vXUcTLSOveXOBbaz6Sb3_xkn_1TYwXlnafjOW46baQk-eTRoojRgrncX3B0Qq5SGda0eAETEme0</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Ashikari, Yuka</creator><creator>Kobayashi, Satoru</creator><creator>Tago, Akari</creator><creator>Yoneyama, Mizuki</creator><creator>Ito, Midori</creator><creator>Fukuda, Keiko</creator><creator>Mizuno, Yoshifumi</creator><creator>Tsunoda, Yuko</creator><creator>Shimizu, Seiki</creator><creator>Yokoi, Kyoko</creator><creator>Kamioka, Naomi</creator><creator>Hamajima, Naoki</creator><creator>Suzuki, Satoshi</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160101</creationdate><title>A case of Guillain–Barré syndrome with meningeal irritation</title><author>Ashikari, Yuka ; Kobayashi, Satoru ; Tago, Akari ; Yoneyama, Mizuki ; Ito, Midori ; Fukuda, Keiko ; Mizuno, Yoshifumi ; Tsunoda, Yuko ; Shimizu, Seiki ; Yokoi, Kyoko ; Kamioka, Naomi ; Hamajima, Naoki ; Suzuki, Satoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-bfc100ac4f9233c3627eee71d7aa4b50b5adae9dfaaf87aca601a5875c3c82493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acute inflammatory demyelinating polyneuropathy</topic><topic>Child, Preschool</topic><topic>Diagnosis, Differential</topic><topic>Early Diagnosis</topic><topic>Female</topic><topic>Guillain-Barre Syndrome - diagnosis</topic><topic>Guillain-Barre Syndrome - pathology</topic><topic>Guillain-Barre Syndrome - physiopathology</topic><topic>Guillain-Barre Syndrome - therapy</topic><topic>Guillain–Barré syndrome</topic><topic>Humans</topic><topic>Immunoglobulins, Intravenous - therapeutic use</topic><topic>Immunologic Factors - therapeutic use</topic><topic>Magnetic Resonance Imaging</topic><topic>Meningeal irritation</topic><topic>Meninges - pathology</topic><topic>Neck stiffness</topic><topic>Neurology</topic><topic>Spinal Cord - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ashikari, Yuka</creatorcontrib><creatorcontrib>Kobayashi, Satoru</creatorcontrib><creatorcontrib>Tago, Akari</creatorcontrib><creatorcontrib>Yoneyama, Mizuki</creatorcontrib><creatorcontrib>Ito, Midori</creatorcontrib><creatorcontrib>Fukuda, Keiko</creatorcontrib><creatorcontrib>Mizuno, Yoshifumi</creatorcontrib><creatorcontrib>Tsunoda, Yuko</creatorcontrib><creatorcontrib>Shimizu, Seiki</creatorcontrib><creatorcontrib>Yokoi, Kyoko</creatorcontrib><creatorcontrib>Kamioka, Naomi</creatorcontrib><creatorcontrib>Hamajima, Naoki</creatorcontrib><creatorcontrib>Suzuki, Satoshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Brain & development (Tokyo. 1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ashikari, Yuka</au><au>Kobayashi, Satoru</au><au>Tago, Akari</au><au>Yoneyama, Mizuki</au><au>Ito, Midori</au><au>Fukuda, Keiko</au><au>Mizuno, Yoshifumi</au><au>Tsunoda, Yuko</au><au>Shimizu, Seiki</au><au>Yokoi, Kyoko</au><au>Kamioka, Naomi</au><au>Hamajima, Naoki</au><au>Suzuki, Satoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of Guillain–Barré syndrome with meningeal irritation</atitle><jtitle>Brain & development (Tokyo. 1979)</jtitle><addtitle>Brain Dev</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>38</volume><issue>1</issue><spage>163</spage><epage>166</epage><pages>163-166</pages><issn>0387-7604</issn><eissn>1872-7131</eissn><abstract>Abstract 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.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>26403311</pmid><doi>10.1016/j.braindev.2015.06.001</doi><tpages>4</tpages></addata></record> |
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| subjects | Acute inflammatory demyelinating polyneuropathy Child, Preschool Diagnosis, Differential Early Diagnosis Female Guillain-Barre Syndrome - diagnosis Guillain-Barre Syndrome - pathology Guillain-Barre Syndrome - physiopathology Guillain-Barre Syndrome - therapy Guillain–Barré syndrome Humans Immunoglobulins, Intravenous - therapeutic use Immunologic Factors - therapeutic use Magnetic Resonance Imaging Meningeal irritation Meninges - pathology Neck stiffness Neurology Spinal Cord - pathology |
| title | A case of Guillain–Barré syndrome with meningeal irritation |
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