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Guillain-Barré syndrome — RCPSC EM MCQ

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HardNeurological emergenciesGuillain-Barré syndromeRCPSC EM

CTAS 2. A 41-year-old has ascending weakness 10 days after diarrhoeal illness. Reflexes are absent, facial weakness is present, and FVC is 18 mL/kg. HR varies from 48 to 132 and BP fluctuates. Sensation is mildly reduced. What is the most appropriate disposition?

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Correct answer: E — Admit to ICU-capable monitored care

Guillain-Barré syndrome with low FVC, bulbar features, and autonomic instability requires monitored admission with ICU capability.

Reference: Canadian Neurological Sciences Federation resources