Çocukluk Çağında Guillain-Barré Sendromu

Abstract

Guillain-Barré Sendromu tüm yaşlarda görülebilen akut inflamatuvar bir polinöropatidir. Semptomlar genellikle alt ekstremitelerden başlayarak yukarı doğru ilerler. Simetrik kas güçsüzlüğü ve derin tendon reflekslerinin kaybı ile karakterizedir. Solunum yetmezliği nedeniyle bazen ölüm- cül olabilmektedir. Tanı, klinik ve laboratuvar testlerle konur. Guillain-Barré Sendromu tedavi edilebilir bir hasta- lıktır. Gelişmiş tedavi yöntemleri ile hastalarda tam bir iyileşme görülebilmektedir. En önemli ölüm nedeni solu- num yetmezliği ve otonom tutuluma bağlı ciddi aritmilerdir. İlerleyici bir kliniği olması nedeniyle erken tanı ve tedavi prognozu olumlu etkilemektedir. Tedavide intravenöz immunglobulin ve plazma değişimi kullanılır. Rehabilitasyonun tam düzelmede önemi büyüktür

Keywords

• Guillain-Barré sendromu,polinöropati,AIDP,AMAN,AMSAN

Guillain-Barré Syndrome in Childhood

Abstract

Guillain-Barré Syndrome is an acute inflammatory polyne- uropathy that can be seen at all ages. Commonly symptoms originate in the lower extremities and progress upward. The disease characterizes by symmetrical muscle weakness and loss of deep tendon reflexes. Sometimes it becomes fatal due to respiratory failure. Diagnosis is made with clinical and laboratory tests. Guillain-Barré Syndrome is a treatable disease. Full recovery can be seen in patients with advanced treatment methods. The most important cause of death is respiratory failure and serious arrhythmi- as due to autonomic involvement. Because of its progressi- ve clinical course, early diagnosis and treatment effect prognosis favourably. Intraveneus immunglobulin and plasma exchange are used in the treatment. Rehabilitation is greatly important for full recovery

Keywords

• Guillain-Barré syndrome,polyneuropathy,AIDP,AMAN,AMSAN

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