Please enable JavaScript.
Coggle requires JavaScript to display documents.
Guillan-Barre Syndrome - Coggle Diagram
Guillan-Barre Syndrome
acute inflammatory demyelinating polyneuropathy
Ascending
Symmetrical
Flaccid weakness
HYporeflexia
disordered sensation
Autonomic disturbance
Causes
Campylobacter
CMV
EBV
HSV
URTI
Mycoplasma
Differential
Infection
Botulism
Dipheria
Poliomyelitis
Lyme disease
Autoimmune
Mystheania
Toxins
organophosphate
Metabolic
Vitamin B12 deficiency
Inflammatory
transverse myelitis
Vascular
Brainstem pathology
Types
AIDP 85%
AntiGM2 ganglioside
Miller fisher variant
Anti GQ1b
AMAN
C Jenjuniinfection
AMSAN
Sensory nerves involved
Management
Tests
CT/MRI
LP
Spirometry
Antibodies
CMV, EBV, HSV, HIV
Serology
Atypical pnumonia screen
viral hepatitis
Other
B12/folate
TFTs
Urinary porphyrins
Drug screen
Neurophysiology
Nerve conduction
demyelination = slow conduction
Axonal degeneration < amplitude
Admission
VC <20ml/kg
Bulbar weakness
Autonomic instability
lability in BP
Dysarrythmias
Gastric emptying
Therapy
IVIG 0.4 g/kg/day for 5 days
PLasma exchange 3-5 treatmetns over 5-7days