NERVE ULTRASOUND FOLLOW-UP IN A CHILD WITH GUILLAIN-BARRE SYNDROME

被引:30
作者
Almeida, Vania [1 ,2 ]
Mariotti, Paolo [3 ]
Veltri, Stefania [3 ]
Erra, Carmen
Padua, Luca [4 ]
机构
[1] Hosp Santa Maria, Serv Neurol, P-1649035 Lisbon, Portugal
[2] Fac Med Lisbon, Inst Mol Med, Neuromuscular Unit, Lisbon, Portugal
[3] Catholic Univ, Unit Child Neuropsychiat, Rome, Italy
[4] Catholic Univ, Dept Neurosci, Rome, Italy
关键词
cross-sectional area; Guillain-Barre syndrome; immune-related neuropathies; measures; ultrasound; INFLAMMATORY DEMYELINATING POLYRADICULONEUROPATHY; MEDIAN NERVE; ULTRASONOGRAPHY; HYPERTROPHY; NEUROPATHY;
D O I
10.1002/mus.23325
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: Nerve ultrasound has been used increasingly in neurophysiology laboratories, but data on Guillain-Barre 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
引用
收藏
页码:270 / 275
页数:6
相关论文
共 15 条
[1]   Ultrasonography shows extensive nerve enlargements in multifocal motor neuropathy [J].
Beekman, R ;
van den Berg, LH ;
Franssen, H ;
Visser, LH ;
van Asseldonk, JTH ;
Wokke, JHJ .
NEUROLOGY, 2005, 65 (02) :305-307
[2]   Childhood Guillain-Barre syndrome -: MR imaging in diagnosis and follow-up [J].
Coskun, A ;
Kumandas, S ;
Paç, A ;
Karahan, OI ;
Guleç, M ;
Baykara, M .
ACTA RADIOLOGICA, 2003, 44 (02) :230-235
[3]   ULTRASOUND VISUALIZATION OF NERVE MORPHOLOGICAL ALTERATION AT THE SITE OF CONDUCTION BLOCK [J].
Granata, G. ;
Pazzaglia, C. ;
Calandro, P. ;
Luigetti, M. ;
Martinoli, C. ;
Sabatelli, M. ;
Padua, L. .
MUSCLE & NERVE, 2009, 40 (06) :1068-1070
[4]   Peripheral Nerve Hypertrophy in Chronic Inflammatory Demyelinating Polyradiculoneuropathy Detected by Ultrasonography [J].
Granata, Giuseppe ;
Pazzaglia, Costanza ;
Caliandro, Pietro ;
Martinoli, Carlo ;
Padua, Luca .
INTERNAL MEDICINE, 2009, 48 (23) :2049-2049
[5]   Peripheral Nerve Hypertrophy in Chronic Inflammatory Demyelinating Polyradiculoneuropathy Detected by Ultrasonography [J].
Imamura, Keiko ;
Tajiri, Yuuki ;
Kowa, Hisanori ;
Nakashima, Kenji .
INTERNAL MEDICINE, 2009, 48 (07) :581-582
[6]   Sonography of the median nerve in Charcot-Marie-Tooth disease [J].
Martinoli, C ;
Schenone, A ;
Bianchi, S ;
Mandich, P ;
Caponetto, C ;
Abbruzzese, M ;
Derchi, LE .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2002, 178 (06) :1553-1556
[7]   Nerve Root Enhancement on Spinal MRI in Pediatric Guillain-Barre Syndrome [J].
Mulkey, Sarah B. ;
Glasier, Charles M. ;
El-Nabbout, Bassem ;
Walters, William D. ;
Ionita, Christian ;
McCarthy, Michael H. ;
Sharp, Gregory B. ;
Shbarou, Rolla M. .
PEDIATRIC NEUROLOGY, 2010, 43 (04) :263-269
[8]   From square to cube: Ultrasound as a natural complement of neurophysiology [J].
Padua, L. ;
Martinoli, C. .
CLINICAL NEUROPHYSIOLOGY, 2008, 119 (06) :1217-1218
[9]   Median nerve ultrasonography in distinguishing neuropathy sub-types: a pilot study [J].
Rajabally, Y. A. ;
Morlese, J. ;
Kathuria, D. ;
Khan, A. .
ACTA NEUROLOGICA SCANDINAVICA, 2012, 125 (04) :254-259
[10]  
Smith EC, 2008, MUSCLE NERVE, V38, P1369