Friday, August 26, 2011

Guillain Barre syndrome

Guillain Barre syndrome Also called as acute infective demyeliting polyradiculoneuropathy (AIDP)
Got few variant Include AIDP, AMAN (acute motor axonal neuropathy) ,AMSAN(acute motor sensory axonal neuropathy) ,acute ataxia and opthalnmoplagia (Fischer syndrome)
Presentation: acute onset paresthesia in distal upper and lower limb
Afebrile
After recovering from viral attack (such as diarrhea or URTI)
Absence of reflex
May got vent failure (1/3 pts)
Diagnosis:L electrodiagnostic, AIDP-demyelinating picture
CSF-albuminocytologic dissociation (increased protein without pleocytosis)
Management: Vent support if vital capacity < 15ml/kg
IV immunoglobulin or plasmaphresis

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