TY  - JOUR
T1  - Anımsatma: Guillain-Barré Sendromunda Kuvvet Kaybı Asimetrik Olabilir
TT  - Reminder: Loss of Strength in Guillain-Barré Syndrome May Be Asymmetric
AU  - Çokyaman, Turgay
AU  - Tekin, Emine
AU  - Aydın, Ömer Faruk
AU  - Taşdemir, Haydar Ali
AU  - Özyürek, Hamit
PY  - 2014
DA  - January
DO  - 10.5222/j.child.2014.028
JF  - Çocuk Dergisi
PB  - Istanbul University
WT  - DergiPark
SN  - 1308-8491
SP  - 28
EP  - 31
VL  - 14
IS  - 1
LA  - tr
AB  - Guillain-Barré sendromu  GBS  hızlı progresyon gösteren,  simetrik ve aşağıdan yukarı doğru ilerleyen güçsüzlük ve  arefleksi ile karakterize olan akut, demiyelinizan, inflama- tuvar bir polinöropatidir  1 . Kraniyal nöropati ve otonomik  semptomlar bu tabloya eşlik edebilir  2 . Bu makalede, bila- teral alt ekstremitelerde şiddetli ağrıları ve sol alt ekstremi- te proksimalinde kuvvet kaybı sağa göre daha belirgin olan  ve idrar inkontinansı gelişen bir vaka sunulmuştur.  Elektromiyografi bulguları akut motor duysal aksonal  nöropati  AMSAN  lehine değerlendirilmiş ve beyin-omirlik  sıvısı analizi ve spinal manyetik rezonans görüntüleme ile  de tanı desteklenmiştir. İntravenöz immunglobulin  IVIG   tedavisinden iki hafta sonra klinik düzelme görülmüş ve  fizik tedavi ve rehabilitasyon programına alınmıştır.  Asimetrik kuvvet kaybı ile presente olan GBS vakaları lite- ratürde ender olarak bildirilmektedir
KW  - Guillain-Barré sendromu
KW  - güçsüzlük
KW  - arefleksi
N2  - Guillain-Barré syndrome  GBS  is a rapidly progressive,  symmetrical and ascending acute demyelinating inflamma- tory polyneuropathy which is characterized by progressive  weakness and areflexia. Cranial neuropathy and autonomic  symptoms may accompany the clinical picture. In this paper,  a case with severe pain in the bilateral lower extremities and  left lower limb proximal muscle weakness which is signifi- cantly more marked than the right side and urinary inconti- nence was presented. Electromyography  EMG  findings  were evaluated in favour of acute motor sensory axonal  neuropathy  AMSAN  and the diagnosis was supported by  cerebrospinal fluid analysis and magnetic resonance ima- ging. Two weeks after the intravenous immunoglobulin   IVIG  treatment clinical improvement was observed and the  patient was included in physical therapy and rehabilitation  program. GBS cases who present with asymmetric weakness  have been rarely reported in the literature
CR  - Asbury AK, Cornblath dr. Assessment of current diagnos- tic criteria for Guillain-Barré syndrome. Ann Neurol 1990;27 (Suppl.):S21-4. http://dx.doi.org/10.1002/ana.410270707
CR  - Visser LH, van der meche FG, meulstee J, et al. Cytomegalovirus infection and Guillain-Barré syndrome: The clinical, electrophysiologic, and prognostic features. Dutch Guillain-Barré Study Group. Neurology 1996;47:668-73. http://dx.doi.org/10.1212/WNL.47.3.668
CR  - Van der meché FG, Van doorn PA, meulstee J, Jennekens FG. GBS Consensus Group of the Dutch Neuromuscular Research Support Centre. Diagnostic and classification crite- ria for the Guillain-Barré syndrome. Eur Neurol 2001;45: 133-9. http://dx.doi.org/10.1159/000052111
CR  - Korinthenberg r, Schessl J, Kirschner J. Clinical presenta- tion and course of childhood Guillain-Barré syndrome: a prospective multicentre study. Neuropediatrics 2007;38:10-7. http://dx.doi.org/10.1055/s-2007-981686
CR  - rabie m, nevo y. Childhood acute and chronic immune- mediated polyradiculoneuropathies. Eur J Paediatr Neurol 2009;13:209-18. http://dx.doi.org/10.1016/j.ejpn.2008.04.009
CR  - Van doorn PA, ruts L, Jacobs BC. Clinical features, patho- genesis, and treatment of Guillain-Barré syndrome. Lancet Neurol 2008;7:939-50. http://dx.doi.org/10.1016/S1474-4422(08)70215-1
CR  - Logullo F, manicone m, di Bella P, Provinciali L. Asymmetric Guillain-Barré Syndrome. Neurological Sciences 2006;27(5):355-9. http://dx.doi.org/10.1007/s10072-006-0710-z
CR  - nagashima T, Koga m, Odaka m, et al. Continuous Spectrum of Pharyngeal-Cervical-Brachial Variant of Guillain- Barré Syndrome. Arch Neurol 2007;64(10):1519-23. http://dx.doi.org/10.1001/archneur.64.10.1519
CR  - ruts L, drenthen J, Jongen JL, Hop WC, Visser GH, Jacobs BC, et al. Pain in Guillain-Barré syndrome: a long- term follow-up study. Neurology 2010;75(16):1439-47. http://dx.doi.org/10.1212/WNL.0b013e3181f88345
CR  - Forsberg A, et al. Impairment in Guillain-Barré syndrome during the first 2 years after onset: a prospective study. Journal of the Neurological Sciences 2004;227:131-8.
CR  - Lin JJ et al. Clinical Variants of Guillain-Barré Syndrome in Children. Pediatric Neurology 2012;47:91-6. http://dx.doi.org/10.1016/j.pediatrneurol.2012.05.011
CR  - yikilmaz A, doganay S, Gumus H, Per H, Kumandas S, Coskun A. Magnetic resonance imaging of childhood Guillain-Barre syndrome. Childs Nerv Syst 2010;26:1103-8. http://dx.doi.org/10.1007/s00381-010-1197-8
UR  - https://doi.org/10.5222/j.child.2014.028
L1  - https://dergipark.org.tr/en/download/article-file/1322505
ER  -