title: A case of Guillain-Barré syndrome with meningeal irritation.
abstract: Here, we report a 5-year-old girl with Guillain-Barré syndrome who presented with a chief complaint of pain in the extremities, which was followed by neck stiffness. Bladder dysfunction was found, which required catheterization. Magnetic resonance imaging revealed marked enhancement of the nerve roots in the cauda equina on T1-weighted imaging after gadolinium injection, and nerve conduction studies led to a diagnosis of Guillain-Barré syndrome. Her symptoms improved after intravenous immunoglobulin therapy, but her neck stiffness remained 16 days after admission. Four weeks after admission, she could walk without support. As patients with signs of meningeal irritation may be diagnosed with other diseases, such as meningitis, it is important to recognize atypical cases of pediatric Guillain-Barré syndrome to achieve early diagnosis and treatment.
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan.
authors.forename: Yuka
authors.initials: Y
authors.lastname: Ashikari
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan. Electronic address: kobasato@muf.biglobe.ne.jp.
authors.forename: Satoru
authors.initials: S
authors.lastname: Kobayashi
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan.
authors.forename: Akari
authors.initials: A
authors.lastname: Tago
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan.
authors.forename: Mizuki
authors.initials: M
authors.lastname: Yoneyama
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan.
authors.forename: Midori
authors.initials: M
authors.lastname: Ito
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan.
authors.forename: Keiko
authors.initials: K
authors.lastname: Fukuda
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan.
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Mizuno
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Tsunoda
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan.
authors.forename: Seiki
authors.initials: S
authors.lastname: Shimizu
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan.
authors.forename: Kyoko
authors.initials: K
authors.lastname: Yokoi
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan.
authors.forename: Naomi
authors.initials: N
authors.lastname: Kamioka
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Hamajima
authors.affiliation: Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Suzuki
mesh_terms: D002675:Child, Preschool; D003937:Diagnosis, Differential; D042241:Early Diagnosis; D005260:Female; D020275:Guillain-Barre Syndrome / Q000175:diagnosis* / Q000473:pathology* / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D007155:Immunologic Factors / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008578:Meninges / Q000473:pathology*; D013116:Spinal Cord / Q000473:pathology*
chemical_list: D016756:Immunoglobulins, Intravenous; D007155:Immunologic Factors
keywords: Acute inflammatory demyelinating polyneuropathy; Guillain–Barré syndrome; Meningeal irritation; Neck stiffness