Case 11: Could This Be Guillain-Barré Syndrome?

Dana Cummings, MD, PhDPreceptor: Thomas Crawford, MD

Disclosures

February 22, 2002

In This Article

Pain With GBS in Children

In a series of 29 children,[1] all under age 6 years (mean age 3 years, 11 months) ultimately diagnosed with GBS, pain (most often a deep aching lower-limb pain) was prominent in 79% at the time of hospitalization; 93% had lower-limb weakness, 86% had areflexia, and 14% had hyporeflexia in the lower limbs.

Sakakihara and Kamoshita [2] found that limb pain was the initial symptom in 24% of patients younger than 5 years and in 53 % of patients older than 5 years.

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