Is clonus seen in Gullain Barre Syndrome
Hyper-reflexia is not inconsistent with the GBS diagnosis and should not delay treatment. All GBS variants and subtypes can present with hyper-reflexia, and this eventuality should be mentioned in future diagnostic criteria for GBS.
Yes clonus ankle Present in small amount in Gullain bare syndrome
ANKLE CLONUS.. OR .. BABINSKI .. SIGN.. RARELY REPORTED.. GULLAJN BARRE SYNDROME..
Yes ofcourse
Electrophysiological studies showed high soleus maximal H-reflex amplitude to maximal compound muscle action potential amplitude ratio, suggestive of spinal motoneuron hyperexcitability, and increased central conduction time, suggestive of corticospinal tract involvement, although a structural damage was never demonstrated by MRI. Hyper-reflexia is not inconsistent with the GBS diagnosis and should not delay treatment. All GBS variants and subtypes can present with hyper-reflexia, and this eventuality should be mentioned in future diagnostic criteria for GBS.
GBS is associated with areflexia. If hyperreflexia seen,even then treatment is started immediately..
No
Yes but rarely reported (5 to 6 %).
Cases that would interest you
- Login to View the image
A young male aged 30 yrs presented with complaints of Severe Headache, High grade Fever with chills , Nausea since 5 days and Altered Sensorium since 1 day....See his CSF report....Discuss his management....
Dr. Hardik Ahuja0 Like20 Answers - Login to View the image
a pt.2yrs old having a fever intermittent since 3-4days..presenting with dyspnoea ...spo2=71% . ..after hospitalisation repeated convulsive attack occur ...pt.react only while forcefull stimulation ...here after hospitalisation o2 therapy,iv fluid,inj ceftriaxone1gm bd,inj .amikacin 100mg bd inj gardenal inmaintanace dose,inj.histac ,nebulisation 8 hrly will given... o2 therapy omit since 5hr but pt.is still react on forcefull stimuli,excessive expectoration from mouth inspite of repeatedly sucction.... so plz give us to your expert opinion for further treatment of this child....
Dr. Jahanavi Sorathiya3 Likes16 Answers - Login to View the image
New Case 7 yr old Female child , well immunized, developed fever with cough 3 weeks ago which was controlled by supportive measures and got resolved by 4 days.Following that the child was active and asymptomatic for the next 4 days.Later on while child was sleeping the mother noted to have deviation of angle of mouth to left side and was consulted in the hospital and was admitted for 14 days.During the hospital days she developed weakness of the limbs, difficulty in walking with difficulty in swallowing.During the hospital stay no bowel or bladder symptoms, no alteration in sensorium, no seizures, no blurring of vision Child was given antibiotics ceftriaxone, discharge on 28th April and suggested to consult higher centre for furtger management. On exam fully concious, slurring of speech ,normal optic fundi and pupils. left LMN facial weakness .Gaze evoked nystagmus on horizontal gaze, bilateral cerebellar signs with gait ataxia Diagnosis
Dr. Manorama Rajan1 Like21 Answers - Login to View the image
6 yrs/M presented with 6 hrs h/o giddiness , vomiting and one e/o tonic posturing f/b loss of consciousness. CNS exam GCS E2V3M4 , pupil NSNR, FLEXOR POSTURING on stimulus , DTR brisk , planter UP GOING , tone RAISED. Multiple boil/rash all over the body for 5 days .NO HISTORY OF FEVER a/c to mother. HR 72 , RR 24 BP 109/44. Eptoin , mannitol , emeset given and patient is intubated in view of poor GCS , persistent POSTURING and vomiting and CO2 retention. Can u please tell the PROBABLE DIAGNOSIS (remember; patient is FEVER FREE )?????
Dr. Raquib Parwez6 Likes19 Answers - Login to View the image
??HFMD Female Patiently late 36y/o presents with complaints of itchy rash with mild blistering on both hands, feet and tongue lasting 7days. Pt complained of pain, sleeplessness and mild fever. Pt was previously treated antihistamine, antibiotics (unspecified) and Ivermectin for suspected scabies infestation, with no improvement. No hx of sulphur drugs. No known allergy. Diagnosis? Recommendations?
Dr. Mukesh Pawar6 Likes20 Answers