All issues > Volume 32(1); 1989

Original Article

J Korean Pediatr Soc. 1989;32(1):52-61. Published online January 31, 1989.

Clinical Observation on Guillain-Barre Syndrome in Children.

Byung Ran Yun¹, Hye Kyung Han¹, Yong Seung Hwang¹

¹Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea

Received: June 28, 1988;  Accepted: September 22, 1988.

Abstract

Clinical observation was performed on 65 cases of Guillain -Barré syndrome which were en at the Department of Pediatrics, Seoul National University Hospital, during the past 10 years from January 1977 to December 1986. The results were as follows: 1) The ratio of male to female was 2:1 and 56.9% of the total cases were seen between the ages of 1-5 years. 2) The highest seasonal incidence was seen in Summer and there was no significant variation in annual incidence. 3) Preceding illness was found in 66.1 % of the total cases and U.R.I was the most common one (67.4 % of preceding illnesses). 4) The site of paralysis on admission was upper and lower extremities in 48 cases (73.8%), lower extremity in 17 cases (26.2%), cranial nerve involvement in 22 cases (33.8%) and respiratory muscle in 8 cases (12.3%). 5) The protein content of C.S.F was elevated in 29 cases of 63 cases (46%) on admission .and in 34 cases of 41 cases (82.9%) one week later. 6) The progression of illness stopped within 2 weeks in 48 cases of 51 cases (94.1 %). 7) Eighty per cent of the total cases improved on discharge and the mortality was 1.5%. The duration of recovery was less than 4 months in 84.6% of the cases.

Keywords :Guillain -Barré Syndrome