Case report of Guillain-Barré syndrome from Atibaia city – SP, Brazil

Abstract

Introduction: Guillain-Barré Syndrome (GBS) is an autoimmune disease of unknown etiology. Characterized by acute inflammatory involvement of the peripheral and cranial nerves, leading to the progressive and ascending symmetrical weakness of the limbs, and may also present atypical forms of evolution. Aim: To report the cases of two pediatric patients affected by SGB, with initial presentations and different evolutions. Method: Analysis of charts describing their evolutions, diagnoses, treatments and therapeutic interventions. It is intended, with the accomplishment of this research, to contribute to the knowledge related to pediatric evolution and confute with SGB patients. Description of the cases: Comparing the clinical cases, it was possible to identify differences in relation to the symptomatology and evolution. The first case remained in the ICU for 40 days, mechanical ventilation for 21 days and in the ward sector for 13 days. The second case presented symptoms and an initial presentation compatible with the literature, rapid and easy diagnosis. After a human immunoglobulin test, she remained in the ward for 6 days, with evolution without sequelae. Final considerations: To date, both patients have presented a good prognosis. The first patient, with some physical limitations, performing motor physical therapy, without tracheostomy. The second, performing their daily tasks since hospital discharge.