GBS, ascending paralysis and respiratory failure

A boy of 3 years presented with limping and weakness of the lower limbs of acute onset.

After admission, his paralysis was deepened in the lower limbs and the upper limbs developed paresis.

When the patient shifted to our ward, he was already in respiratory distress.

His was conscious but his Bayniski’s sign was negative and reflexes in the limbs were absent. His pulse was rapid and blood pressure norrmal.

His bladder and bowel were not affected.

The case was diagnosed as GBS (Gullain-Barre Syndrome) with ascending paralysis with respiratory failure

We have taken all supportive measure and at one stage the patient was intubated but the patient deteriorates rapidly and expires.

Bdoza