Syndrome De Guillain-Barré Chez L’enfant Dans Un Contexte A Ressources Limitées : A Propos De Deux Observations Au CHU Sylvanus Olympio De Lomé - TOGO

  • Dae. Akolly Service de Pédiatrie CHU Sylvanus Olympio de Lomé (TOGO).
  • Km. Guedenon Service de Pédiatrie CHU Sylvanus Olympio de Lomé (TOGO).
  • E. Tsolenyanu Service de Pédiatrie CHU Sylvanus Olympio de Lomé (TOGO).
  • E. Takassi Service de Pédiatrie CHU Sylvanus Olympio de Lomé (TOGO).
  • M. Fiawoo Service de Pédiatrie CHU Sylvanus Olympio de Lomé (TOGO).
  • Y. Atakouma Service de Pédiatrie CHU Sylvanus Olympio de Lomé (TOGO).

Abstract

Guillain-Barré syndrome is rare in children. With polyvalent immunoglobulins the management and prognosis has been significantly improved with complete recovery rate exceeding 80%. We report the cases of two children who completely recovered after Guillain-Barré syndrome in the absence of immune globulin. He was a 12 year old daughter and an infant of 17 months male who presented a progressive ascending motor deficit, dysphonia with difficulty swallowing, difficulty breathing, areflexia. A albumino-cytological dissociation was found in the study of cerebrospinal fluid in both cases. Electromyography in the girl had confirmed a axono-form myelin. Retroviral serology was negative in both cases. Other serology (Campylobacter jejuni, Cytomegalovirus, Epstein Barr, ZIKA), the dosage of anti-ganglioside antibodies and brain imaging had not been made. The immunoglobulins are not available in our work context, we conducted a symptomatic management. Complete healing was achieved with a 4-month decline.

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Published
2016-12-31
How to Cite
Akolly, D., Guedenon, K., Tsolenyanu, E., Takassi, E., Fiawoo, M., & Atakouma, Y. (2016). Syndrome De Guillain-Barré Chez L’enfant Dans Un Contexte A Ressources Limitées : A Propos De Deux Observations Au CHU Sylvanus Olympio De Lomé - TOGO. European Scientific Journal, ESJ, 12(36), 182. https://doi.org/10.19044/esj.2016.v12n36p182