Thursday 25 March 2010

-Guillain Barr� syndrome.

Guillain Barr� syndrome

Aetiology(theories):-

  • Postinfection:50% of cases have preceding respiratory or GIT viral infection.
  • Post vaccination:following vaccination against swine flu virus.
  • Lymphoma.
  • Autoimmune theory.
Clinical Picture:-
1-Initial febrile illness.
2-Motor affection:-

  • Bilateral symmetrical ascending affection of both lower limbs,trunk,upper limbs,Bulbar muscles,facial muscles then diphragm and respiratory muscles.
  • The Affection is proximal more than distal in adult.
  • The Affection is proximal more than distal in infant and childrens.
  • Weakness is associated with hypotonia and areflexia.
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