Acute inflammatory demyelinating polyradiculoneuropathy in a newborn infant

作者:Anastasopoulou Stavroula*; Lindefeldt Marie; Bartocci Marco; Wickstrom Ronny
来源:European Journal of Paediatric Neurology, 2016, 20(5): 754-757.
DOI:10.1016/j.ejpn.2016.05.005

摘要

Background: Acute inflammatory demyelinating polyneuropathy (AIDP), also known as Guillain-Barre syndrome, is an immune-mediated polyneuropathy usually triggered by infections or vaccinations. In childhood AIDP is commonly described after the first year of life. Here, we present a case of a newborn infant with AIDP manifestation directly after delivery. Case study: A newborn girl with a healthy mother, without known exposure to immuno-modulating factors, was admitted to the neuropediatric department due to ascending hypotonia, weakness, pain and areflexia in the lower extremities. The clinical presentation, laboratory and neurophysiological studies supported the diagnosis of AIDP. The infant showed first signs of clinical improvement following administration of intravenous immunoglobulin and her recovery was complete at one year. Conclusion: AIDP should be considered as a differential diagnosis in ascending hypotonia also in the neonatal period.

  • 出版日期2016-9