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Nerve ultrasound follow‐up in a child with Guillain‐Barré syndrome
Author(s) -
Almeida Vânia,
Mariotti Paolo,
Veltri Stefania,
Erra Carmen,
Padua Luca
Publication year - 2012
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.23325
Subject(s) - medicine , ultrasound , guillain barre syndrome , clinical neurophysiology , electrodiagnosis , neurophysiology , median nerve , surgery , radiology , pediatrics , electroencephalography , psychiatry
Nerve ultrasound has been used increasingly in neurophysiology laboratories, but data on Guillain‐Barré syndrome (GBS) are still limited, and no follow‐up studies are available. Case report: An 8‐year‐old boy was admitted with severe demyelinating GBS. Serial neurophysiological evaluations were performed initially and in follow‐up. Ultrasound studies showed diffuse and heterogeneous nerve swelling and focal enlargement of single fascicles inside the nerve. Together with clinical and electrophysiological improvement, progressive normalization of ultrasound changes was seen. Conclusions: Ultrasound demonstrated structural nerve abnormalities in GBS. These changes normalized as the patient improved clinically and electrophysiologically. Further studies are needed to elucidate the diagnostic and prognostic value of ultrasound in GBS. Muscle Nerve 46: 270–275, 2012