小兒에서 Guillain-Barre 症候群에 對한 臨床的觀察

Abstract

[한글]

[영문]

Recently there has been tremd to increase the number of the diagnosed cases which called for the special attention of the pediatrician.

I present here with the thirty six cases observed in pediatic age group.

The records of all patients which were extensively studied and diagnosed as Guillain Barre syndrome were reviewed both at Severance hospital and Won ju Union christian hospital for the period of five years from Jan 1959 through Dec 1963.

1). Twenty seven cases were found in males and 9 cases were in female, in a ratis of three to one. The age ranged from one and a half years to 15 years with the peak incidence in the preschool age group.

2) Twenty nine cases of the 36 had preceding infections, 18 of which were upper respiratory in nature.

3) On admission, most of them complained of muscle weakness or paralysis and a few had meningeal signs, all patients were afebrile.

4) Physical findings revealed paralysis of lower extremities in all 36, upper extremities in 16, cranial nerve in 9, and respriatory muscles in 5 cases.

In all but two cases deep tendon refex was either diminished or absent

5) Albumino-cytologic dissociation of cerebro spinal fluid were detected in 28 cases and the remaining 8 cases were found to have no increase in protein level.

6) Twenty seven cases of the 36 were imported within 6 months and 2 were dead.

Fatality rate diminished since the commencement of steroid therapy combined with physiotherapy, and prognseis in children was better than that of aged group.