title: Clinical course of spontaneous spinal epidural haematoma mimicking Guillain-Barré syndrome in a child: a case report and literature review.
abstract: 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.
authors.affiliation: Technical University School of Medicine, Trabzon, Turkey.
authors.forename: Ertugrul
authors.initials: E
authors.lastname: Cakir
authors.forename: Gökalp
authors.initials: G
authors.lastname: Karaarslan
authors.forename: Haydar
authors.initials: H
authors.lastname: Usul
authors.forename: Süleyman
authors.initials: S
authors.lastname: Baykal
authors.forename: Kayhan
authors.initials: K
authors.lastname: Kuzeyli
authors.forename: Ilke
authors.initials: I
authors.lastname: Mungan
authors.forename: Ugur
authors.initials: U
authors.lastname: Yazar
authors.forename: Bekircan
authors.initials: B
authors.lastname: Peksoylu
authors.forename: Müjgan
authors.initials: M
authors.lastname: Aynaci
authors.forename: Feraye
authors.initials: F
authors.lastname: Cakir
mesh_terms: 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