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Un caso pediátrico de síndrome de persona rígida: presentación y análisis comparativo

Lessoued Alaeddine¹, Bahroun Sami¹, Karray Ismail¹

¹Department of Orthopedic Surgery, Kassab Hospital, Manouba, Tunisia.

Journal of orthopaedic case reports

|February 11, 2026

Resumen

El síndrome de persona rígida pediátrica (SPS) es un trastorno autoinmune raro a menudo diagnosticado erróneamente. El reconocimiento temprano y la atención multidisciplinaria son cruciales para el tratamiento efectivo de esta condición neurológica desafiante.

Área de la Ciencia:

Neurología Neurología.
Trastornos autoinmunes Trastornos autoinmunes Trastornos autoinmunes Trastornos autoinmunes Trastornos autoinmunes Trastornos autoinmunes Trastornos autoinmunes Trastornos autoinmunes
Medicina Pediátrica La medicina pediátrica es una especialidad de la medicina pediátrica.

Sus antecedentes:

El síndrome de persona rígida (SPS) es un raro trastorno neurológico autoinmune que causa rigidez muscular y espasmos.
El SPS pediátrico es excepcionalmente raro, con síntomas tempranos no específicos que conducen a retrasos en el diagnóstico.

Objetivo del estudio:

Para reportar un caso de SPS pediátrico inicialmente diagnosticado erróneamente como un trastorno ortopédico.
Para resaltar los desafíos de diagnóstico y enfatizar la necesidad de un reconocimiento temprano en casos pediátricos.

Principales métodos:

Presentación del caso clínico de un niño de 11 años con anormalidades progresivas de la marcha y rigidez.
Revisión de los criterios de diagnóstico, los marcadores serológicos (anticuerpos anti-GAD) y la electromiografía para SPS.
Discusión de la fisiopatología y las estrategias de tratamiento actuales, incluidas las terapias inmunomoduladoras y sintomáticas.

Principales resultados:

El paciente presentó síntomas que imitaban problemas ortopédicos, lo que condujo a un diagnóstico erróneo y a una intervención quirúrgica.
Diagnóstico tardío de SPS debido a la presentación atípica y la ausencia de signos neurológicos típicos.
El manejo exitoso involucró terapia inmunomoduladora y rehabilitación.

Conclusiones:

El SPS pediátrico presenta complejidades de diagnóstico, que a menudo conducen a un diagnóstico erróneo como otras afecciones.
La gestión multidisciplinaria y la identificación temprana son vitales para prevenir intervenciones inapropiadas y optimizar los resultados.
Se necesita una mayor concienciación e investigación para mejorar los protocolos de diagnóstico y tratamiento para el SPS pediátrico.

Palabras clave:

Síndrome de la persona rígida.anticuerpos contra el ácido glutámico y la descarboxilasa.Neurología autoinmune neurología autoinmune.inmunoterapia y la inmunoterapia.rigidez muscular y rigidez muscular.pediatría y pediatría.

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