Faruk İNCECİK, Özden HOROZ, M. Özlem HERGÜNER, Dinçer YILDIZDAŞ

Akut Karın ile Gelen Guillain-Barre Sendromu

Guillain-Barre Sendromu (GBS), çocukluk çağındaki akut flask paralizinin en sık nedenidir. Simetrik güçsüzlük, baş ağrısı, solunum sıkıntısı, nöropatik ağrı, kas ağrısı, parestezi, ve yüz felci en sık görülen klinik bulgulardır. Akut karın ağrısı ile başvuran GBS’li 13 yaşındaki erkek hastayı sunduk. Bilgilerimize gore, bu olgu akut karın ağrısı ile başvuran ilk GBS olgusudur.

Guillain-Barre Syndrome Presenting as Acute Abdomen

Guillain-Barré syndrome (GBS) is the most common cause of acute flaccid paralysis in childhood. Symmetric weakness, headache, respiratory symptom, neuropathic pain, muscle pain, paresthesia, and facial palsy were the most common clinical presentations. We report 13-year-old boy with GBS who presented with acute abdominal pain. This is the first report, to our knowledge, first presented of acute abdomen of a pediatric patient with GBS.

Keywords:

Guillain-Barré syndrome, acute abdomen, children,

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Hughes RAC, Rees JH. Clinical and epidemiological features of Guillain-Barré syndrome. J Infect Dis. 1997;176:92-8.
Hung PL, Chang WN, Huang LT, Huang SC, Chang YC, Chang CJ, et al. A clinical and electrophysiologic survey of childhood Guillain–Barre syndrome. Pediatr Neurol. 2004;30:86-91.
Wong PS, Fothergill NJ, Touquet R. Abdominal pain as a presenting symptom of the Guillain-Barré syndrome. Arch Emerg Med. 1988;5:242-5.
Lyons R. Elusive belly pain and Guillain-Barré syndrome. J Pediatr Health Care. 2008;22:310-4.
Kalra V, Sankhyan N, Sharma S, Gulati S, Choudhry R, Dhawan B. Outcome in childhood Guillain-Barré syndrome. Indian J Pediatr. 2009;76:795-9.
Bradshaw DY, Jones HR Jr. Guillain-Barr´e syndrome electrodiagnosis, and prognosis. Muscle Nerve. 1992;15:500-6. course,
Ryan MM. Guillain-Barre syndrome in childhood. J Paediatr Child Health. 2005;41:237-41. 8. Bradshaw DY, Jones HR. Pseudomeningoencephalitic presentation of pediatric Guillain-Barré 2001;16:505-8. J Child Neurol.
Lee JH, Sung IY, Rew IS. Clinical presentation and prognosis of childhood Guillain-Barré syndrome. J Paediatr Child Health. 2008;44:449-54.