Clinical course of spontaneous spinal epidural haematoma mimicking Guillain-Barré syndrome in a child: a case report and literature review.
We describe a 9-year-old female with thoracic epidural haematoma. The clinical course simulated Guillain-Barré syndrome (GBS) so intravenous immunoglobulin therapy was started at the paediatric clinic. Magnetic resonance imaging (MRI) 3 days after admission showed thoracic epidural haematoma between T2 and T8. An emergency laminectomy was performed and the patient's neurological symptoms began to improve immediately after surgery and she made a full recovery during the 2 weeks of follow-up. Time is a very important factor in achieving reversibility of symptoms of compressive cord lesions, such as spinal epidural haematoma, and MRI is mandatory for patients with progressive paraplegia, even though the signs and symptoms might suggest GBS.
Cakir
Ertugrul
E
Technical University School of Medicine, Trabzon, Turkey.
Karaarslan
Gökalp
G
Usul
Haydar
H
Baykal
Süleyman
S
Kuzeyli
Kayhan
K
Mungan
Ilke
I
Yazar
Ugur
U
Peksoylu
Bekircan
B
Aynaci
Müjgan
M
Cakir
Feraye
F
D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D020275:Guillain-Barre Syndrome / Q000175:diagnosis*; D046748:Hematoma, Epidural, Spinal / Q000150:complications / Q000473:pathology* / Q000503:physiopathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009069:Movement Disorders / Q000175:diagnosis; D013117:Spinal Cord Compression / Q000209:etiology / Q000473:pathology