Case Report A case of Guillain-Barresyndrome with meningeal irritation

Here, we report a 5-year-old girl with Guillain-Barresyndrome who presented with a chief complaint of pain in the extremities, which was followed by neck stiffness. Bladder dysfunction was found, which required catheterization. Magnetic resonance imaging revealed marked enhancement of the nerve roots in the cauda equina on T1-weighted imaging after gadolinium injection, and nerve conduction studies led to a diagnosis of Guillain-Barresyndrome. Her symptoms improved after intravenous immunoglobulin therapy, but her neck stiffness remained 16 days after admission. Four weeks after admission, she could walk without support. As patients with signs of meningeal irritation may be diagnosed with other diseases, such as meningitis, it is important to recognize atypical cases of pediatric Guillain-Barresyndrome to achieve early diagnosis and treatment. 2015 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.