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Published on: November 9, 2017
[Guillain-Barre syndrome in children]
A A Kozyreva1,2, R Ts Bembeeva1,2, E S Druzhinina1,2
1Pirogov Russian National Research Medical University, Moscow, Russia.
Insights
Guillain-Barré syndrome (GBS) is an immune disorder affecting the nervous system, causing progressive muscle weakness. Early diagnosis and treatment are crucial, especially in children, due to potential life-threatening complications.
Area of Science:
- Neurology
- Immunology
- Pediatrics
Background:
- Guillain-Barré syndrome (GBS) is an immune-mediated peripheral nervous system disorder.
- It presents as progressive, symmetrical, ascending muscle weakness in children and adults.
- Life-threatening complications include respiratory failure and autonomic dysfunction, necessitating vigilant monitoring.
Approach:
- This review analyzes current medical literature on pediatric GBS.
- It discusses diagnostic strategies and management tactics for GBS.
- The review incorporates Russian and European clinical recommendations for GBS patient care.
Key Points:
- GBS diagnosis can be challenging due to its expanding spectrum and atypical presentations.
- Timely pathogenetic therapy is vital for favorable outcomes, particularly in pediatric cases.
- Meticulous patient monitoring is essential to manage potential severe complications.
Conclusions:
- Effective management of pediatric Guillain-Barré syndrome requires early recognition and prompt, guideline-adherent treatment.
- Understanding the evolving diagnostic criteria and management protocols is key for clinicians.
- This review synthesizes current knowledge to aid in diagnosing and treating GBS in children.
Abstract:
Guillain-Barré syndrome (GBS) is an immune-mediated disease of the peripheral nervous system that can occur in both children and adults. The classic presentation of GBS is characterized by progressive symmetrical, ascending muscle weakness. Patients with GBS require meticulous monitoring due to the risk of bulbar syndrome, respiratory failure and autonomic dysfunction, which can be life-threatening. Early diagnosis and timely prescription of pathogenetic therapy for GBS are particularly important, especially in young children. Meanwhile, the spectrum of disorders covered by GBS has expanded significantly; its eponym is now designate any variant of acute dysimmune polyneuropathy, and its atypical forms pose a serious diagnostic problem for clinicians. This review article provides an analysis of the data available in the medical literature on GBS in children and discusses the tactics for diagnosing and managing patients with GBS, taking into account the Russian and European clinical recommendations.
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