Rehabilitation outcomes after combined acute disseminated encephalomyelitis and Guillain-Barré syndrome in a child: a case report
Autor(es): Korupolu Radha,Ngo Thien,Hack Nawaz,Escott Edward,Salles Sara
Resumo: A 5-year old female presented with acute tetraparesis and areflexia. Initial imaging and cerebrospinal fluid analysis were suggestive of acute disseminated encephalomyelitis (ADEM). Minimal clinical response with intravenous steroids prompted further work up. Limited nerve conduction studies suggested possible acute motor-sensory axonal neuropathy, a rare variant of Guillain-Barré syndrome (GBS). Repeat imaging was compatible with polyradiculopathy indicating concomitance of ADEM and GBS. The patient suffered severe motor deficits and neuropathic pain. Slow but significant functional recovery was noted after intensive inpatient rehabilitation followed by continued rehabilitation via home health services.
Palavras-Chave: Encephalomyelitis, Guillain-Barre syndrome, pediatrics, rehabilitation
Imprenta: Journal of Pediatric Rehabilitation Medicine, v. 7, n. 3, p. 267-272, 2014
Identificador do objeto digital: 10.3233/PRM-140295
Descritores: Guillain-Barre Syndrome - Pathogenesis
Data de publicação: 2014
