“Tinkle Tinkle Little Girl, How We Wonder Why You Can’t”: An Unusual AIDP-like Syndrome in a Toddler
Bibliographic record
Abstract
Acute inflammatory demyelinating polyradiculoneuropathy (AIDP) is most frequently associated with rapidly progressive flaccid paralysis and areflexia. The estimated childhood incidence of AIDP (0-15 years of age) is 0.34 to 1.34 per 100,000 per year and the diagnosis of AIDP is often delayed in up to 2/3 of preschool age children due to nonspecific clinical symptoms and intrinsic difficulties in performing neurological examinations in this age group. 1 Further contributing to diagnostic inaccuracy is the presence of AIDP variants such as Miller-Fisher syndrome and the pharyngeal-cervical-brachial variant. The major concern with such phenotypic variations is that misdiagnosis or delay in treatment can have substantial effects on acute mortality and chronic morbidity. We report a case of a three year-old previously healthy girl with a purely autonomic variant of an AIDP-like syndrome consisting only of urinary and stool retention with nerve root enhancement with normal strength, (CSF) and nerve conduction studies responsive to intravenous immunoglobulin (IVIG) treatment.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.010 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.002 | 0.004 |
| Science and technology studies | 0.002 | 0.010 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.005 | 0.000 |
| Research integrity | 0.000 | 0.003 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".