Pediatric Acute Demyelinating Syndromes: Identification and Management in the Emergency Department | Points & Pearls
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Pediatric Acute Demyelinating Syndromes: Identification and Management in the Emergency Department

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Points & Pearls Excerpt

  • Demyelinating disorders are important to consider in pediatric patients presenting with weakness, and they can be differentiated from other pathologies by a careful history and thorough physical examination.
  • Ascending paralysis is the classic presentation of Guillain-Barré syndrome (GBS). Common signs and symptoms of GBS are refusal to walk, neuropathic pain in the legs, absent deep tendon reflexes, and autonomic dysfunction.
  • Symptoms of acute transverse myelitis (ATM) depend on the spinal level affected. Bilateral nonprogressing pain, weakness, and bowel/bladder dysfunction are common presenting symptoms.
  • Patients with suspected GBS and respiratory distress with poor ventilation or oxygenation may require early advanced airway intervention.
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Publication Information
Authors

Camille Halfman, MD

Peer Reviewed By

Nicole Gerber, MD; Felicia Gliksman, DO, MPH; Kathleen G. Reichard, DO

Publication Date

March 2, 2021

CME Expiration Date

March 2, 2024

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.

Pub Med ID: 33617213

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