Kaal E C, Braun K P, Mauser H W, van Diemen-Steenvoorde J A, Franssen H, Plötz F B
Ned Tijdschr Geneeskd. 2001 Aug 4;145(31):1509-11.
In a five-month-old girl, who for a week had cried and displayed a relapse in the motor development, generalised hypotonia and meningism were found. Eventually, the results of the cerebrospinal fluid analysis and electromyography indicated Guillain-Barré syndrome. She was treated with immunoglobulins and made a quick recovery. Guillain-Barré syndrome is an acute or subacute inflammatory demyelinating polyradiculoneuropathy that can occur at any age. In children, the classic symptoms such as a flaccid paralysis and areflexia are not always predominant. Instead, pain is often the most prominent symptom, along with meningism. These symptoms are often insufficiently recognised in practice and as a result of this, delays in the diagnosis of this potentially life-threatening disease often occur.
一名五个月大的女童，一周来哭闹不止，运动发育出现倒退，检查发现有全身肌张力减退和脑膜刺激征。最终，脑脊液分析和肌电图结果显示为吉兰 - 巴雷综合征。她接受了免疫球蛋白治疗，恢复迅速。吉兰 - 巴雷综合征是一种急性或亚急性炎症性脱髓鞘性多发性神经根神经病，可发生于任何年龄。在儿童中，诸如弛缓性麻痹和反射消失等典型症状并不总是最为突出。相反，疼痛往往是最突出的症状，同时伴有脑膜刺激征。这些症状在实际中常常未得到充分认识，因此这种潜在危及生命的疾病的诊断往往会出现延误。
