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Guillain-Barré Syndrome in a Three-Month

發生於三個月嬰兒之Guillain-Barré syndrome

摘要


我們報告一名三個月大發生Guillain-Barré syndrome (GBS)的嬰孩,這可能是文獻發表最年輕的非先天性GBS病例,本報告分析臨床表現、檢查結果,包括脊椎MRI及電生理學檢查,對正確早期診斷GBS很有幫助,早期發現和及時使用靜脈免疫球蛋白治療,對病患的預後有很好的效果。

並列摘要


We report a three-month-old infant who suffered from progressive motor weakness within four days after fistulectomy for anal fistula. From the clinical presentations and the results of laboratory studies included spinal MR images and electrophysiological study, Guillain-Barre syndrome (GBS) was diagnosed. Immunotherapy with intravenous immunoglobulin was prescribed early after diagnosis ascertained. Following rehabilitation was performed that good outcome had been achieved. To our knowledge, this case might be the youngest patient of non-congenital Guillain-Barre syndrome that had been reported before. GBS in young infant is rare and clinical presentation is not distinct. It is very important that a infant with suspected GBS is managed as an emergency. Spinal MR imaging as a supplementary diagnostic modality is suggested.

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