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Kid unable to move lower body, instability in nerves,GBS suspected - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :   Dr. XXXXXXXX here
User :   Hi Dr XXX
Doctor :   please proceed with your health query
User :   This is regarding a colleague of mine who is currently undergoing medical treatment. The symptoms are inability to move the lower body, temporary instability in movement of the hand or one leg. The instability in the nerves. The doc concerned is currently getting him on a MRI. He suspects GBS. The question I have is what are the other possibilities that may exist. What are the questions that we need to ask as the boy is a young kid with limited family help
Doctor :   please give me few moments to read what you have typed
User :   He has been admitted to a reputed hospital and naturally we would want to ensure he is correctly treated
User :   I had visited him yesterday and the physiotherapist mentioned that they may need to operate on his spinal cord now this may be heresay but do not know if there is anything related that you can throw light on.
Doctor :   what other symptoms does he have?
Doctor :   how did this weakness and inability start for him?
Doctor :   was it slow onset or rapid onset?
Doctor :   was this after any infection?
User :   this has been slow onset
User :   he has been going through lot of issues. He fractured his ribs and also a hairline on a leg. He has had an attack of food poisoning. Hence his immunity is low
User :   This is over the last three months
Doctor :   ok. make sure that proper diagnosis is done for him. have they confirmed that it is due to GBS?
User :   Not yet but what is your take
Doctor :   as spinal tap is needed to diagnose it. has it been done?
User :   The doc mentioned he will test him for non invasive lumbar puncture test and use the lumbar puncture test in case the first two tests are positive
Doctor :   it is of 6 different types of GBS. the symptoms vary minutely for each of them
User :   I am not sure on the first test but it has been negative
Doctor :   just ask for CSF (cerebrospinal fluid ) study and see what the report says
Doctor :   if it is inconclusive then electrodiagnostic tests like nerve conduction studies and electromyography should be done to confirm the diagnosis
User :   I know that was done and possibly this came out negative
Doctor :   acute conditions can be managed with medicines like immunoglobulins and plasmapehersis
Doctor :   chronic status needs more of supportive therapy
Doctor :   if recovery starts withing few weeks of starting treatment, then 80% of patients recover completely within few months to 1 year time
User :   what is the mri done for
Doctor :   hence early confirmation of diagnosis and starting treatment
Doctor :   MRI is done to look for changes in spinal cord, usually it will not show much changes
User :   Can this be only an immunity issue and not GBS
Doctor :   CSF analysis and electrodiagnostic studies are more reliable.
Doctor :   GBS is an autoimmune issue triggered by infection
User :   I am hoping it is not GBS. Is there any other possibilities? or do you see a prolonged recovery time similar to GBS?
Doctor :   it can be a lot of possibilities, GBS is most common
Doctor :   go ahead with the tests described above
Doctor :   it will help in identifying even other causes that mimic GBS symptoms
Doctor :   WWW.WWWW.WW
Doctor :   visit this link to learn more about it and other possibilities
User :   Thanks for your help and advice appreciate the same
Doctor :   is there anything else i can help you with?
User :   No thanks
Doctor :   thanks for consulting me. bye for now.
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