A boy of 4 years admitted in our ward with gradual weakness of lower limbs started 5 days back with inability to stand and walk. The weakness gradually involves the upper limbs and the patient become unable to move or hold anything by his hands.
He had a history of short viral episode 7 days back
Patient is conscious but irritable, had tachycardia (pulse 130/m) and Hypertension (BP 130/85 mmHg) but the patient had no bladder or bowel involvement.
Muscle Tone and Muscle Power of the limbs were decreased. The reflexes of the limbs were absent or diminished. Sensory minimally affected.
The patient was level as Gullaine-Barre Syndrome with Ascending Paralysis and hypertension.
CBC is normal, CSF study on the 8th day showed Lymhocytes 30/cmm, Protein 145 mg/dl.
The patient was given Inj Methyl Prednisolone for 5 days. The IVIg was not available in the local market. For hypertension no specific drug was given, it came to normal on 3rd came down to normal on 3rd hospital day.
The patient now is slowly improving, his power of the upper limbs is much regained but the lower limbs is still weak and he is not able to stand or walk.
The patient is still in our ward and under our care.
Bdoza
Links : GBS-information page of National Institute of Neurological Disorders & Stroke
GBS Foundation International
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Saturday, August 18, 2007
Guillain- Barre Syndrome with Ascending paralysis and Hypertension
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3 comments:
Our 22 mo grandson was admitted recently for progressive muscle weakness and subsequently diagnosed with GBS. He was hypertensive and because typically rural family practice physicians do not take BP's on patients there was no baseline to determine if the hypertension was related to the GBS or not. Because of this he required an echo, renalgram, and other tests to determine if there was another cause of the hypertension. He is receiving IVIG for four days and is not progressing any further with symptoms. He seems quite irratable and seems to be in pain whenever a BP is attempted making accuracy of the BP readings questionable. He seems to be better following the first dose of IVIG and we are hopeful for a full recovery.
Thanks fischers for sharing the story of your grandson.
There is every chance of full recovery of your grandson.
Our prayer is always with you.
My mom was just diagnosed with Guillain-Barre-Syndrome also. My mom was pretty healthy, played tennis 5 days/week. She has been in hospital for over a month and is finally getting better. Our blog tells all we have been through in detail at http://bonniesgbsjourney.blogspot.com/ Jeanie
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