Department of Internal Medicine, University of the Witwatersrand, Johannesburg, South Africa
Case Report
Descending GBS - An Atypical Presentation
Author(s): Rosalia Shivute*
Guillain-Barre© syndrome and its variants form a continuous spectrum of overlapping syndromes. A 15-year-old caucasian male patient previously well presented with a week history of body weak-ness, vomiting and neck pain, (pre Covid pandemic). Further history noted that he suffered multiple infantile apnoeic attacks with mild cognitive impairment. He disclosed that he had an upper respiratory infection 3 weeks prior treated with fluroquinolones by a general practitioner. On examination he was noted to be febrile. Positive finding included terminal neck stiffness and a sinus tachycardia. All other systems and vitals were normal. Initial CTB was normal with an unremarkable lumbar puncture. Day 5 of admission the patient developed bulbar symptoms; a repeat LP was done where albuminocytogical dissociation was noted. Higher mental function normal, bilateral facial nerve palsy, facial d.. View More»
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