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Dev Med Child Neurol · Dec 2004
Review Case ReportsClinical course of spontaneous spinal epidural haematoma mimicking Guillain-Barré syndrome in a child: a case report and literature review.
- Ertugrul Cakir, Gökalp Karaarslan, Haydar Usul, Süleyman Baykal, Kayhan Kuzeyli, Ilke Mungan, Ugur Yazar, Bekircan Peksoylu, Müjgan Aynaci, and Feraye Cakir.
- Technical University School of Medicine, Trabzon, Turkey.
- Dev Med Child Neurol. 2004 Dec 1;46(12):838-42.
AbstractWe describe a 9-year-old female with thoracic epidural haematoma. The clinical course simulated Guillain-Barré syndrome (GBS) so intravenous immunoglobulin therapy was started at the paediatric clinic. Magnetic resonance imaging (MRI) 3 days after admission showed thoracic epidural haematoma between T2 and T8. An emergency laminectomy was performed and the patient's neurological symptoms began to improve immediately after surgery and she made a full recovery during the 2 weeks of follow-up. Time is a very important factor in achieving reversibility of symptoms of compressive cord lesions, such as spinal epidural haematoma, and MRI is mandatory for patients with progressive paraplegia, even though the signs and symptoms might suggest GBS.
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