{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:58:01Z","timestamp":1791910681588,"version":"4.3.4"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>\n                    Guillain\u2013Barr\u00e9 syndrome is the most common cause of acute flaccid paralysis in children, but several diseases mimic GBS. We aimed to identify and report the clinical pointers and battery of tests required to differentiate Guillain\u2013Barr\u00e9 syndrome from its observed mimics in the pediatric population admitted to our neuro-critical care unit. We conducted a retrospective record analysis of all pediatric patients admitted over ten years from 2008\u20132018, whose initial presentation was compatible with a clinical diagnosis of GBS. Eighty-three patients were at first treated as GBS, of which seven (8.4%) were found to have an alternate diagnosis\u2014three cases of paralytic rabies, one case each of acute disseminated encephalomyelitis, cervical myeloradiculopathy, neuromyelitis optica, and a case of community-acquired\n                    <jats:italic toggle=\"yes\">Staphylococcus aureus<\/jats:italic>\n                    pneumonia associated sepsis. Neurophysiological and neuro-virological testing, central nervous system imaging, and sepsis screening helped to confirm the alternate diagnosis. Our case series provides knowledge of subtle clinical differences along with the mindful use of diagnostic testing to facilitate the accurate diagnosis of GBS mimics.\n                  <\/jats:p>","DOI":"10.4103\/ni.ni_881_22","type":"journal-article","created":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T13:01:11Z","timestamp":1714568471000},"page":"379-383","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Mimics of Guillain\u2013Barr\u00e9 Syndrome in Pediatric Patients Admitted to the Neuro-Intensive Care Unit of a Tertiary Care Hospital\u2014A Case Series"],"prefix":"10.4103","volume":"72","author":[{"given":"Prachi","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Neruroanesthesia and Neurocritical Care, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohini M.","family":"Surve","sequence":"additional","affiliation":[{"name":"Department of Neruroanesthesia and Neurocritical Care, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hima S.","family":"Pendharkar","sequence":"additional","affiliation":[{"name":"Department of Neuroimaging and Interventional Radiology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girish B.","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shweta S.","family":"Naik","sequence":"additional","affiliation":[{"name":"Department of Neruroanesthesia and Neurocritical Care, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4,30]]},"reference":[{"key":"R1-20260505","doi-asserted-by":"crossref","first-page":"195.","DOI":"10.1186\/1471-2377-13-195","article-title":"Guillain-Barr\u00e9 syndrome as a cause of acute flaccid paralysis in Iraqi children: A result of 15 years of nation-wide study","volume":"13","author":"Jasem","year":"2013","journal-title":"BMC Neurol"},{"key":"R2-20260505","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1097\/MOP.0b013e328365ad3f","article-title":"Pediatric Guillain-Barr\u00e9 syndrome","volume":"25","author":"Ryan","year":"2013","journal-title":"Curr Opin Pediatr"},{"key":"R3-20260505","doi-asserted-by":"crossref","first-page":"166","DOI":"10.17712\/1658-3183.2011","article-title":"Co-morbid Guillain-Barr\u00e9 syndrome and acute disseminated encephalomyelitis","volume":"18","author":"Mohammed","year":"2013","journal-title":"Neurosciences (Riyadh)"},{"key":"R4-20260505","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1159\/000184748","article-title":"The epidemiology of Guillain-Barr\u00e9 syndrome worldwide. A systematic literature review","volume":"32","author":"McGrogan","year":"2009","journal-title":"Neuroepidemiology"},{"issue":"388","key":"R5-20260505","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/S0140-6736(16)00339-1","article-title":"Guillain-Barr\u00e9 syndrome","volume":"13","author":"Willison","year":"2016","journal-title":"Lancet"},{"key":"R6-20260505","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1542\/pir.2017-0189","article-title":"Guillain-Barr\u00e9 syndrome","volume":"39","author":"Chung","year":"2018","journal-title":"Pediatr Rev"},{"key":"R7-20260505","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.pediatrneurol.2010.05.011","article-title":"Nerve root enhancement on spinal MRI in pediatric Guillain-Barr\u00e9 syndrome","volume":"43","author":"Mulkey","year":"2010","journal-title":"Pediatr Neurol"},{"key":"R8-20260505","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1212\/WNL.0b013e31820e7b62","article-title":"Recognizing Guillain-Barre syndrome in preschool children","volume":"76","author":"Roodbol","year":"2011","journal-title":"Neurology"},{"key":"R9-20260505","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1136\/jnnp.2009.185504","article-title":"Rabies viral encephalitis: Clinical determinants in diagnosis with special reference to paralytic form","volume":"81","author":"Gadre","year":"2010","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"R10-20260505","doi-asserted-by":"crossref","first-page":"52","DOI":"10.18700\/jnc.210005","article-title":"Paralytic rabies mimicking Guillain-Barr\u00e9 syndrome: The dilemma still prevails","volume":"14","author":"Surve","year":"2021","journal-title":"J Neurocrit Care"},{"issue":"Suppl 2","key":"R11-20260505","first-page":"S7","article-title":"Consensus definitions proposed for pediatric multiple sclerosis and related disorders","volume":"68","author":"Krupp","year":"2007","journal-title":"Neurology"},{"key":"R12-20260505","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1542\/pir.2019-0179","article-title":"Acute transverse myelitis and acute disseminated encephalomyelitis","volume":"41","author":"Kahn","year":"2020","journal-title":"Pediatr Rev"},{"key":"R13-20260505","doi-asserted-by":"crossref","first-page":"2407","DOI":"10.1093\/brain\/123.12.2407","article-title":"Acute disseminated encephalomyelitis, multiphasic disseminated encephalomyelitis and multiple sclerosis in children","volume":"123","author":"Dale","year":"2000","journal-title":"Brain"},{"key":"R14-20260505","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1212\/WNL.0000000000001729","article-title":"International Panel for NMO Diagnosis. International consensus diagnostic criteria for neuromyelitis optica spectrum disorders","volume":"85","author":"Wingerchuk","year":"2015","journal-title":"Neurology"},{"key":"R15-20260505","doi-asserted-by":"crossref","first-page":"1200","DOI":"10.4103\/0028-3886.349608","article-title":"Community acquired Staphylococcus aureus necrotizing pneumonia and Guillain Barre syndrome: An unusual presentation in an adolescent patient","volume":"70","author":"Surve","year":"2022","journal-title":"Neurol India"}],"container-title":["Neurology India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ni.ni_881_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:30:25Z","timestamp":1787769025000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ni.ni_881_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ni.ni_881_22","relation":{},"ISSN":["0028-3886","1998-4022"],"issn-type":[{"value":"0028-3886","type":"print"},{"value":"1998-4022","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"2022-09-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-24","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}