**3.1 1st hospitalization**

At 2 years of age due to acute inflammatory demyelinating variant Guillain Barré syndrome. In September 2012, GBS was diagnosed secondary to an upper respiratory tract infection 1 week prior to admission, with partial improvement in infection after administration of antimicrobials and antipyretics for 3 days. Later clinical symptoms of GBS characterized by weakness in both lower extremities were added, going to the emergency room. Upon admission to the emergency room, she found normal vital signs; HR 116/minute, FR 30/minute, Temp 36 °C, oxygen saturation 93%. Physical examination: female of apparent age similar to chronological age, adequate hydration, normocephalic skull, oral cavity with grade II tonsillar hypertrophy and hyperemic pharynx, neck without megalia, cardiopulmonary without compromise, soft abdomen without megaly or peritoneal irritation, upper extremities; eutrophic, conserved strength 5/5 on the Daniels scale, conserved tendon

reflexes, pain withdrawal and conserved sensitivity, lower extremities; eutrophic, strength reduction 3/5 on the Daniels scale, bilateral areflexia, withdrawal to pain and preserved sensitivity. Neurological: awake, reactive to external stimuli, nonmeasurable gait, preserved sensitivity, preserved cranial nerves, absent meningeal signs, no neurological deterioration or dysautonomias.
