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[Neonatal Landry-Guillain-Barré-Strohl syndrome]
Abstract:
Landry-Guillain-Barré-Strohl syndrome found in a three-days-old newborn is presented at the Mexican Navy Medical Center Hospital with an acute state after exchanges transfusion due to incompatibility of blood type was done. The case has the same clinical characteristics, such as those found by other authors in children, even though the statistics in this syndrome during the childhood and in the newborn periods are limited. It is frequent that the child dies before the diagnosis is made because motor and sensitive immaturity are present. This renders even more difficult the appropriate treatment and diagnosis, because the paralysis initiated in an ascending and progressive manner involving the spinal bulb may lead to confusion with other pathology, such as respiratory or neurological distress that may need respiratory mechanical assistance. It is very important to dissociated the relation albumin-citology of the spinal fluid to confirm the diagnosis. Corticoides do not modify the evolution of the clinical picture. In this paper we reviewed the modern ideas on pathogenesis and their possible allergic and immunologic association.