A 14-year-old boy appears with a history of a progressive ascending weakness started from both lower extremities to the trunk, both upper extremities, and bulbar muscles for the last 4 days. He had an URI symptoms for the last 2 weeks. He refuses to walk. He has mild respiratory distress. He also has dysphagia. He is intubated and placed on a mechanical ventilator. Physical examination reveals absence of tendon reflexes, hypotonia, and facial muscle weakness. CSF study reveals proten 120 mg/dL, 3 WBCs per mm3, all lymphocytes, and glucose 70 mg/dL. Most likely diagnosis: a) Guillain-Barre syndrome b) Transverse myelitis c) Botulism d) Poliomyelitis e) Brain tumor
Posted on: Sat, 27 Sep 2014 19:07:10 +0000
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