Practical approach to the child presenting with acute generalised weakness

J Paediatr Child Health. 2024 Feb-Mar;60(2-3):41-46. doi: 10.1111/jpc.16536. Epub 2024 Mar 28.

Abstract

Acute generalised muscle weakness in children is a paediatric emergency with a broad differential diagnosis. A careful history and neurologic examination guides timely investigation and management. We review some of the more common causes of acute generalised muscle weakness in children, highlighting key history and examination findings, along with an approach to lesion localisation to guide differential diagnosis and further investigation.

Keywords: Guillain–Barré syndrome; acute flaccid paralysis; generalised weakness; neurology; transverse myelitis.

Publication types

  • Review

MeSH terms

  • Child
  • Diagnosis, Differential
  • Guillain-Barre Syndrome* / complications
  • Humans
  • Muscle Weakness* / diagnosis
  • Muscle Weakness* / etiology
  • Neurologic Examination