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Abstract
Seventy-two children with Guillain-Barrésyndrome (GBS), diagnosed at 11 major teaching
hospitals in Taiwan during the period 1986–1990, were studied retrospectively. There
were 44 males and 28 females ranging in age from 7 months to 15 years. Preceding events
could be traced in 61 patients (85%), including antecedent infection in 59 patients
and previous vaccination in 2. As well as the consistent pictures of progressive weakness
and generalized hyporeflexia, there were sensory complaints (26%), cranial nerve lesions
(46%), respiratory failure (14%) and autonomic dysfunction (25%). Motor symptoms reached
a maximum within 20 days in 88% of the patients, with the plateau lasting less than
2 weeks in 75%, and became stable within 3 months in 76%. Overall outcome showed complete
recovery in 73% of the patients within 6 months after onset. Four (5.6%) had recurrence,
and there was no mortality. The present study revealed that the annual incidence of
GBS in Taiwan can be estimated roughly as 0.66 per 100, 000 and that the course of
childhood GBS is relatively benign.
Keywords
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Article info
Publication history
Accepted:
February 20,
1994
Received:
November 13,
1992
Identification
Copyright
© 1994 Elsevier Science B.V. All rights reserved. Published by Elsevier Inc.
