Description
A 4½-year-old boy develops sudden, ascending weakness of both lower limbs over 7 days, followed by breathing difficulty. He has hypotonia, absent deep tendon reflexes, power of 2/5 in the lower limbs and 3/5 in the upper limbs, diaphragmatic weakness, and absent superficial reflexes. Over the next 7 days his power improves, his breathing is fine, and he can sit and walk with support. But his reflexes have still not returned, and his nerve conduction study is normal.
Why are the reflexes absent even though power is better? Share your answer in the comments! 👇
💬 Find the answer here: https://www.pediatriconcall.com/diagnosis-dilemma/new/guillain-barre-syndrome/229
PEDIATRIC ONCALL is the Web’s most robust and integrated medical information and education tool, with an extensive network of doctors as registered members.
#Pediatrics #Neurology #MedicalMystery #Neuromuscular #PediatricCases #CasePresentation #MedicalEducation #Hypotonia #Reflexes #Weakness #ChildrensHealth #Medical #Shorts