Resumen

SANCHEZ MIRANDA, Deybis; BUSQUET GARCIA, Carlos Manuel; QUIROS VIQUEIRA, Odila  y  DEBESA FERNANDEZ, Raúl. Síndrome de Guillain-Barré: patogenia, diagnóstico y cuidados críticos en pediatría. Rev Cubana Pediatr [online]. 2001, vol.73, n.2, pp. 95-105. ISSN 1561-3119.

Landry-Guillain-Barré-Strohl syndrome is characterized by a bilateral ascending or descending motor paralysis with relative simmetry, hyporeflexia or areflexia, bulbar taking, no objective sensitive disorders, disautonomic symptoms and respiratory paralysis, which is the most severe complication. The autoimmune factor and the preceeding phenomenon have value in the pathogeny. Patients should be managed in an Intensive Care Unit during the progression stage for the ventilatory and hemodynamic monitoring. Nutrition, neutral hydromineral balance, control of the airways and mechanical ventilation should be guaranteed according to the clinical, gasometric and electrophysiological criteria. Plasmapheresis, steroids and intravenous gammaglobulins appear to be reasonable suggestions for treatment if they are used at the right time.

Palabras clave : POLYRADICULONEURITIS [etiology]; POLYRADICULO-NEURITIS [diagnosis]; POLYRADICULONEURITIS [therapy]; GAMMAGLOBULINS [therapeutic use]; STEROIDS [therapeutic use]; PLASMAPHERESIS; CHILD.

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