Naslov
Follow up of children with corticospinal tract involvement in Guillain-Barre syndrome (GBS)

Autori
Barisic, Nina ; Brcic, Luka ; Likic, Robert

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Brain and Development / Xi-Ru Wu - , 2002

Skup
The 9th International Child Neurology Congress and the 7th Asian and Oceanian Congress of Child Neurology

Mjesto i datum
Peking, Kina, 20.09.2002. - 25.09.2002

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Guillain-Barre Syndrome (GBS); hyperreflexia; meningitic syndrome; electromyoneurography

Sažetak
Guillain Barre syndrome (GBS) is characterized by areflexia. Hyperreflexia is reported in AMAN. We present 13 children with GBS at the age 14 months &#8211 ; ; 12 years with hyperreflexia or positive Babinski sign in initial (5/13) or in early recovery period (10/13) and 2/13 in both periods. The children were examined clinically and electromyoneurographically 2-5 times successively during 1-7 years of follow up. Cerebrospinal fluid protein content was increased initially in seven patients without pleocytosis. Meningitic syndrome was present in 7/13 children. Compound muscle action potentials (CMAP) in range 0.1-1 mV (mean 0, 39 mV) and motor conduction (CMNV) ranging 15-33.6 m/s (mean 26.07 m/s) were decreased in nine children in the initial phase. Neural potentials and F waves were absent initially in 11 patients. Distal latency was prolonged in nine patients. On follow up improvement of CMAP occurred in six children. Improvement of CMNV was registered in four children. Outcome was excellent in 7/13 in the period 1 month-7 years. In 1/13 remained spastic monoparesis, while 5 patient manifested slight peroneal gait. Hyperreflexia appeared usually in recovery period suggesting involvement of upper motor neurons or spinal interneurons occurring both in GBS of demyelinating and axonal type in children.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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