Quiz Form
Quiz Form Quiz Listing

Quiz Form

Question Date: 05/01/2024


Question: All of the following are red flags suggesting a diagnosis other than GBS except


Options:

  • Sensory level on torso
  • CSF pleocytosis of 20 cells/mm3
  • Severe respiratory dysfunction at onset with limited limb weakness
  • Bladder or bowel dysfunction at onset


Correct Answer: CSF pleocytosis of 20 cells/mm3


Explaination: Mild CSF pleocytosis of 10-20cells /mm3 is seen in 5% of cases.<br>Presence of marked pleocytosis of >50cells/mm3 particularly polymorphonuclear predominant should prompt evaluation of alternative causes <br><br>Red flags other than included in options:<br>Fever at onset<br>Marked persistent asymmetric weakness<br>Severe sensory signs with limited weakness at onset<br>Slow progression over 4 weeks without cranial nerve, autonomic or respiratory involvement


Reference: Continuum : Peripheral nerve and motor neuron disorders (October 2023, Volume 29,no 5) Page 1340-1341