Children's Ward, Manchester University NHS Foundation Trust, Manchester, UK
Children's Ward, Manchester University NHS Foundation Trust, Manchester, UK.
BMJ Case Rep. 2022 Mar 10;15(3):e245455. doi: 10.1136/bcr-2021-245455.
A 9-year-old boy presented with unbalanced gait, back pain and lower limb weakness. His physical examination revealed almost absent lower limbs reflexes and cerebro-spinal fluid (CSF) showed albuminocytologic dissociation. The brain and spine MRI with contrast illustrated abnormal enhancement-suggestive of Guillain-Barré syndrome.The case had limited distribution and it did not progress beyond the presenting clinical involvements. They did not need immunotherapy, self-recovered, managed conservatively using painkillers and gabapentin along with physiotherapy-with a wait and see approach. The child is now almost back to normal after 8-12 weeks.
一位 9 岁男孩出现步态不平衡、背痛和下肢无力。体格检查发现下肢反射几乎消失,脑脊液(CSF)显示蛋白细胞分离。脑和脊柱 MRI 增强显示异常增强-提示格林-巴利综合征。该病例分布有限,未超出首发临床表现进展。他们不需要免疫治疗,自行恢复,通过使用止痛药、加巴喷丁和物理治疗进行保守治疗,并采用观察等待的方法。8-12 周后,患儿基本恢复正常。