<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-8705</journal-id>
<journal-title><![CDATA[CES Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[CES Med.]]></abbrev-journal-title>
<issn>0120-8705</issn>
<publisher>
<publisher-name><![CDATA[Universidad CES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87052023000200079</article-id>
<article-id pub-id-type="doi">10.21615/cesmedicina.7162</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Presentación atípica del Síndrome de Guillain Barré en pediatría. Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Atypical presentation of Guillain Barré Syndrome in pediatrics. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Silva]]></surname>
<given-names><![CDATA[Daniel Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas Silva]]></surname>
<given-names><![CDATA[Angie Milena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benavides Benavides]]></surname>
<given-names><![CDATA[Ramiro José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Hospital San Pedro  ]]></institution>
<addr-line><![CDATA[Pasto ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Infantil Los Ángeles Miembro del Grupo de Investigación HILA COL0163349. Miembro del Grupo de Investigación en Pediatría GRINPED COL014219 ]]></institution>
<addr-line><![CDATA[Pasto ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Infantil Los Ángeles Miembro del Grupo de Investigación HILA COL0163349 ]]></institution>
<addr-line><![CDATA[Pasto ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>2</numero>
<fpage>79</fpage>
<lpage>84</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87052023000200079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87052023000200079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87052023000200079&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Las variantes atípicas del Síndrome de Guillain Barré (SGB) incluyen debilidad y síntomas sensitivos asimétricos, de predominio distal o proximal, dolor difuso o compromiso aislado de pares craneales previo al inicio de los síntomas, irritabilidad, meningismo y marcha inestable.  Objetivo: describir el siguiente caso de SGB de presentación atípica en un paciente pediátrico dada por debilidad asimétrica, alteración de la marcha y compromiso unilateral del XII par craneal.  Caso Clínico: adolescente masculino afrocolombiano, con hemiparesia izquierda de inicio distal, alteración de la marcha, ataxia, dificultad para la elevación y lateralización izquierda de la lengua. El diagnóstico se apoyó en el estudio de líquido cefalorraquídeo con disociación albumino citológica, resonancia magnética que mostró realce de raíces nerviosas y estudios de neuroconducción compatibles con polineuropatía de tipo axonal en miembros inferiores.  Conclusiones:  las presentaciones atípicas del SGB constituyen un reto diagnóstico, la debilidad asimétrica y el compromiso de XII par craneal obligan a descartar otras patologías. La historia clínica y el examen físico apoyados en estudios complementarios de líquido cefalorraquídeo, neuroimagen y neuroconducción son útiles para confirmar SGB. El conocimiento de las variables atípicas de SGB en la población pediátrica es indispensable para la identificación oportuna y tratamiento precoz.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Atypical variants of Guillain Barré Syndrome (GBS) include asymmetric weakness and sensory symptoms, predominantly distal or proximal, diffuse pain or isolated involvement of cranial nerves prior to the onset of symptoms, irritability, meningismus and unsteady gait.  Objective:  to describe the following case of GBS with atypical presentation in a pediatric patient due to asymmetric weakness, gait disturbance, and unilateral involvement of the XII cranial nerve.  Clinical Case:  Afro-Colombian male adolescent, with left hemiparesis of distal onset, gait disturbance, ataxia, difficulty in lifting and left lateralization of the tongue. The diagnosis was supported by the study of cerebrospinal fluid with cytological albumin dissociation, magnetic resonance imaging showed enhancement of nerve roots and neuroconduction studies compatible with axonal-type polyneuropathy in the lower limbs.  Conclusions:  atypical presentations of GBS constitute a diagnostic challenge, the asymmetric weakness, and the compromise of the XII cranial nerve make it necessary to rule out other pathologies. Clinical history and physical examination supported by complementary studies of cerebrospinal fluid, neuroimaging and neuroconduction are useful to confirm GBS. Knowledge of the atypical variables of GBS in the pediatric population is essential for timely identification and early treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome de Guillain Barré]]></kwd>
<kwd lng="es"><![CDATA[marcha atáxica]]></kwd>
<kwd lng="es"><![CDATA[nervio hipogloso]]></kwd>
<kwd lng="es"><![CDATA[debilidad asimétrica]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="en"><![CDATA[Guillain-Barre Syndrome]]></kwd>
<kwd lng="en"><![CDATA[hypoglossal nerve]]></kwd>
<kwd lng="en"><![CDATA[gait ataxia]]></kwd>
<kwd lng="en"><![CDATA[asymmetric weakness]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
</kwd-group>
</article-meta>
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