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GBS (AIDP) — RACP Paediatrics MCQ

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ModerateNeurology & DevelopmentGBS (AIDP)RACP Paediatrics

A 7-year-old boy presents with acute onset of weakness affecting his legs then progressing to his arms over 3 days. Deep tendon reflexes are absent. CSF shows albuminocytological dissociation (high protein, normal cell count). What is the diagnosis?

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Correct answer: C — Guillain-Barré syndrome (AIDP)

GBS presents with ascending weakness with absent reflexes and albuminocytological dissociation on CSF. Nerve conduction studies confirm demyelinating neuropathy. Treatment includes IVIG or plasmapheresis. Respiratory monitoring for diaphragmatic weakness is essential.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Guillain-Barré Syndrome