Guillain-barre syndrome(GBS)
Protocols
Clinical Features:
- A pins and needles sensation in your fingers, toes, ankles or wrists
- Weakness in your legs that spreads to your upper body
- Unsteady walking or inability to walk or climb stairs
- Difficulty with facial movements, including speaking, chewing or swallowing
- Double vision or inability to move the eyes
- Severe pain that may feel achy, shooting or cramplike and may be worse at night
- Difficulty with bladder control or bowel function
- Rapid heart rate
- Low or high blood pressure
- Difficulty breathing
Investigations:
- CSF-Albino-cytological dissociation
- Motor nerve conduction study- reduced
- Electromyogram- acute denervation of muscle
- serum alkaline phosphate
- Stool RME -H.pylori
- Sural nerve biopsy
Rx:
Supportive Rx:
- Counsel the parent about disease
- Bed Rest & 2hourly change posture to prevent bed sore
- Feeding- NG Feeding if unable to eat orally
- Bowel & Bladder care
- Physiotherapy
Tab. Inflam(200/400mg) ..1+0+1....if pain
Specific Rx:
1. IVIg (normoglobin): 1-2g/kg/day for 3 days single dose
2. Plasmapheresis
3.Rehabilation
Prognosis:
Symptomatic treatment >90% children recover