title: Postural guarding and hypertension as initial manifestations of Guillain-Barré syndrome.
abstract: A child without any prodromal events presented with incapacitating, symmetrical limb pain intensified by any movement. He lacked objective motor weakness or reflex changes. A provisional diagnosis of Guillain-Barré syndrome was not entertained despite sequential examinations that further documented dysesthesia, postural guarding, and hypertension. The clinician must consider Guillain-Barré syndrome as a cause for self-imposed immobilization associated with autonomic dysfunction.
authors.affiliation: Department of Emergency Medicine, Wright State University School of Medicine, Dayton, OH.
authors.forename: J I
authors.initials: JI
authors.lastname: Singer
authors.forename: K
authors.initials: K
authors.lastname: Back
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D004630:Emergencies; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D008297:Male; D010146:Pain / Q000209:etiology*; D011129:Polyradiculoneuropathy / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D011187:Posture