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Guillain Barré Syndrome in a three year old child under treatment for atypical febrile seizure: A case report

机译:一名三岁儿童因非典型性高热性癫痫发作而患上格林兰·巴雷综合症:一例报告

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Guillain-Barré syndrome is the most common cause of acute fl accid paralysis in healthy infants and children. It has an annual incidence of 0.6 to 2.4 cases per 100,000 population and occurs at all ages and in both sexes. The incidence is lower in children ranging from 0.38 to 0.91 cases per 100,000 in the studies and most of these cases ranging from four years to 18 years of age. Hence, the true incidence is even lesser in child younger than four years. We report a case of an early presentation of Guillain-Barré syndrome in child who was also a case of atypical febrile seizure under sodium valproate. Keeping in mind all the possibilities of acute onset weakness including orthopedic problems, possible side effect of valproate and possible new seizure, treatment was started early solely based on history and physical examination later confirmed by laboratory investigations.Journal of Kathmandu Medical College Vol. 6, No. 1, 2017, page: 35-37
机译:Guillain-Barré综合征是健康婴儿和儿童急性弛缓性麻痹的最常见原因。每10万人口的年发病率为0.6到2.4例,并且在所有年龄段和性别中都存在。在这项研究中,儿童的发病率较低,范围为每100,000例儿童0.38至0.91例,其中大多数病例为4至18岁。因此,真正的发病率甚至在四岁以下的儿童中更小。我们报告了一例儿童格林贝-巴雷综合征的早期表现,该病例也是丙戊酸钠下非典型性高热惊厥的病例。考虑到所有急性发作性虚弱的可能性,包括整形外科问题,丙戊酸盐可能的副作用以及可能的新的癫痫发作,仅根据病史和体格检查提早开始治疗,随后经实验室检查证实。 6,No.1,2017,页:35-37

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