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5 Cards in this Set

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Guillain barre syndrome

Acute demyelination polyneuropathy

Causes of GBS

Occurs after 1-4/52 after precipitating event


Infection campylobacter jejuni, cmv, ebb, hiv, vaccinia


Others lymphoma sle

Clinical features

-Parasthesia hands and feet - progressive ascending symmetrical motor weakness of > 1 limb days - weeks


-areflexia


-limb pain on passive movement


-cn involvement in 50% Vii most common


-autonomic dysfunction



Investigation

csf- protein > 0.4, normal csf cell count


Bloods abg


Resp function tests


EMg


Management

Mechanical ventilation 1/3


Ivig 2g/kg for 5 days or plasma exchange plasmapheresis


AVOID sux ( assoc with sudden death)