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Clincal Observation on Guillain-Barré Syndrome in Children

Journal of the Korean Pediatric Society 1993;36(5):634-642.
Published online May 15, 1993.
Clincal Observation on Guillain-Barré Syndrome in Children
In Cheol Park, In Seung Park, Jeh Hoon Shin, In Joon Seol, Ha Baik Lee
Department of Pediatrics, Han Yang University College of Medicine, Seoul, Korea
소아의 Guillain-Barré 증후군에 대한 임상적 관찰
박인철, 박인승, 신재훈, 설인준, 이하백
한양대학교 의과대학 소아과학교실
Abstract
Clinical observation was performed on 23 children with Guillain-Barré syndrome which were hospitalized at the Pediatric ward of Han Yang University Hospital, from July 1975 through May 1991. The results were as follows: 1)The ratio of male patient to female was 2.8:1 and 47.8% of total GBS patients were between the ages 1to 5 years. 2)The highest seasonal incidence of GBS was seen in summer and there was no significant variation of GBS annually. 3)Preceding illness of GBS was found in 60% of the total patients, and upper respiratory infection was the most common (65%) 4)Muscular paralysis or weakness in extremities was the most common chief complaints on admission, and repiratory difficulty, vomiting, diarrhea, swallowing difficulty and myalgia were follwed. 5)The sites of paralysis on admission were upper and lower extremities in 14 GBS patients (60.8%), lower extremities in 7 GBS patints (34.8%) and respiratory muscle in 4 GBS patints (17.3%), respectively. 6)The protein content of cerebrospinal fluid was elevated in 18 GBS patients of total (78.3%) on admission and remnant 6 GBS patients showed increased protein later. 7)There was a tendency time in 5 GBS patients with muscular fibrillation on E.M.G. was longer than that in 4 GBS patients without muscular fibrillation. We thought further studies on critical evaluation and better treatment for GBS were needed.
Key Words: Guillain-Barré, syndrome, Children


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