Recurrent Guillain-Barre Syndrome in a pediatric patient - Residual opthalmoplegia that recovered with IV immunoglobulins : A case report
Journal Title: Journal Of Pediatric Critical Care - Year 2017, Vol 4, Issue 3
Abstract
Guillain-Barré syndrome(GBS) is the most common and most severe acute paralytic neuropathy, with about 1,00,000 people developing the disorder every year worldwide. Under the umbrella term of Guillain-Barré syndrome are several recognisable variants with distinct clinical and pathological features. GBS is generally considered to be monophasic, but recurrences do occur in a presently undefined subgroup of patients. Recurrent GBS is rare but presents a diagnostic challenge. Even though not well described, reccurences have been reported, though there appears to be no significant difference between RGBS and GBS episodes with respect to similar clinical symptoms and similar or different triggering events. We describe a 10-year-old girl who presented with acute onset of ascending, symmetrical, areflexic, flaccid quadriparesis. She had a history of GBS 1 year ago from which she recovered completely over 6 months with no residual weakness except for ophthalmoplegia. Based on clinical presentation, past history and investigations, diagnosis of recurrent GBS was confirmed.
Authors and Affiliations
Sandeep Kadam, G Sandeep Kumar, Manasa Kakunje
OSCE: Diabetic Ketoacidosis (DKA)
11year female child, a known case of diabetes mellitus type 1 for the last one year and on insulin therapy brought with history of high-grade fever, burning micturition and fast breathing since 3 days. She was irritable...
Scrub typhus
Scrub typhus is an important emerging tropical infection that can have severe manifestations in children leading to intensive care admission. It is caused by Orientia tsutsugamushi, a gram negative bacterium transmitted...
Audit of Empirical Broad Spectrum Antimicrobial usage in The Pediatric ICU of a Tertiary Care Children's Hospital
.
Snake Bite
.
Quantitative Capillary Beta-Hydroxybutyrate Versus Quantitative Serum BetaHydroxybutyrate Measurement In The Diagnosis And Management Of Pediatric Diabetic Ketoacidosis: A Prospective Observational Analytical Study
Monitoring blood beta-hydroxybutyrate is essential in the diagnosis and management of pediatric diabetic-ketoacidosis. Point-of-care capillary beta-hydroxybutyrate testing requires further evaluation in monitoring ketone...