Çocuklarda nadir görülen bir Guillan Barre sendromu alt türü: Akut aksonal motor nöropati

Year 2022, Volume: 8 Issue: 1, 92 - 95, 23.04.2022

Hatice Uygun , İbrahim Bucak , Yunus Coşar , Hilal Aydın , Mehmet Turğut

https://doi.org/10.30569/adiyamansaglik.1023000

Abstract

Guillan Barre Sendromu en sık görülen akut, immün aracılı demiyelinizan poliradikulonöropatidir. Guillan Barre Sendromu klinik ve elektrofizyolojik bulgularına göre alt türlere ayrılır. Bu alt türlerden birisi olan akut aksonal motor nöropati çocuklarda çok nadir görülür. Bu çalışmada ayaklarında ve ellerinde uyuşma, gözlerini tam olarak kapatamama, peltek konuşma, ıslık çalamama şikâyeti ile başvuran ve fizik muayenesinde hiperrefleksi saptanan akut aksonal motor nöropati tanılı on altı yaşındaki erkek olguyu sunuyoruz.

Keywords

Çocuk, Guillan Barre Sendromu, Nöropati

A rare subtype of Guillain Barre syndrome in children: Acute axonal motor neuropathy

Abstract

Guillan Barre Syndrome is the most common acute, immune-mediated demyelinating polyradiculoneuropathy. Guillan Barre Syndrome is divided into subtypes based on clinical and electrophysiological findings. Acute axonal motor neuropathy, one of these subtypes, is very rare in children. In this study, we present a sixteen-year-old male patient with a diagnosis of acute axonal motor neuropathy, who presented with numbness in his feet and hands, inability to close his eyes fully, slurred speech, and inability to whistle, and hyperreflexia was found in his physical examination.

Keywords

Child, Guillan Barre syndrome, Neuropathy

References

• Korinthenberg R, Schulte Monting J. Natural history and treatment effects in Guillain-Barre syndrome: a multicentre study. Arch Dis Child. 1996;74: 281–87.
• Dhadke SV, Dhadke VN, Bangar SS, Korade MB. Clinical Profile of Guillain Barre Syndrome. J Asso Physicians India. 2013;61: 168-172.
• Ropper AH. The Guillain-Barré syndrome. N Engl J Med. 1992;326:1130–1136.
• Nagasawa K, Kuwabara S, Misawa S et al. Electrophysiological subtypes and prognosis of childhood Guillain- Barré syndrome in Japan. Muscle Nerve. 2006;33:766–770.
• Tekgul H, Serdaroglu G, Tutuncuoglu S. Outcome of axonal and demyelinating forms of Guillain-Barré syndrome in children. Pediatr Neurol. 2003:28:295–299.
• Hughes RAC, Cornblath DR. Guillain-Barre´ syndrome. Lancet. 9497;366:1653–1666.
• Uncini A, Manzoli C, Notturno F, Capasso M. Pitfalls in electrodiagnosis of Guillain-Barre´syndrome subtypes. J Neurol Neurosurg Psychiatry. 2010;81(10):1157-1163.
• Hadden RDM, Cornblath DR, Hughes RAC et al. Electrophysiological classification of guillain-barre´ syndrome: clinical associations and outcome. Ann Neurol. 1998;44:780–788.
• Capasso M, Caporale CM, Pomilio F, Gandolfi P, Lugaresi A, Uncini A. Acute motor conduction block neuropathy. Another Guillain–Barre´ syndrome variant. Neurology. 2003;61(5):617–622.
• Kannan MA, Ch RK, Jabeen SA, Mridula KR, Rao P, Borgohain R. Clinical, electrophysiological subtypes and antiganglioside antibodies in childhood Guillain-Barré syndrome. Neurology India. 2011;59(5):727-732.
• Soysal A, Aysal F, Caliskan B et al. Clinico-electrophysiological findings and prognosis of Guillain- Barré syndrome–10 years’ experience. Acta Neurol Scand. 2011;123:181–186.
• Singhal V, Bhat KG. Guillain-Barre syndrome with hyperreflexia: A variant. J Pediatr Neurosci. 2011;6:144–5
• Korinthenberg R, Schessl J, Kirschner J. Clinical Presentation and Course of Childhood Guillain- Barré Syndrome: A Prospective Multicentre Study. Neuropediatrics. 2007; 38(1):10-17.
• Koul R, Al-Futaisi A, Chacko A et al. Clinical Characteristics of Childhood Guillain-Barré Syndrome. Oman Med J. 2008; 23(3): 158–61.
• Kalra V, Sankhyan N, Sharma S, Gulati S, Choudhry R, Dhawan B. Outcome in childhood Guillain-Barré syndrome. Indian J Pediatr 2009;76:795–799.
• Hicks CW, Kay B, Worley SE, Moodley M. A clinical picture of Guillain-Barré syndrome in children in the United States. J Child Neurol. 2010;25:1504–1510.