Postural guarding and hypertension as initial manifestations of Guillain-Barré syndrome.
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.
Singer
J I
JI
Department of Emergency Medicine, Wright State University School of Medicine, Dayton, OH.
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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