Abstract
Background: A subacute, flaccid paresis in a child or youth from Central Europe, starting at the distal lower extremities and increasing within days, initially suggested the differential diagnosis of a primary immune neuropathy in the sense of Guillen-Barré syndrome (GBS), here in particular an acute inflammatory demyelinating neuropathy (AIDP). However, this attribution is questionable considering a different country of origin, particularly from the Asian or Southern American region, since there is a prevalence of GBS subtypes divergent from Central Europe, with considerably different prognosis. Apart from this connection the resulting central importance of the electrophysiological findings for an early accurate diagnosis shall be demonstrated.
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