Acute flaccid paralysis (AFP)
Age group : 0 - < 15 years
Provided pseudoparalysis is ruled out :
- Scurvy
- Osteomyelitis
- Syphilis
- Hypokalemia
Causes of AFP :
1. Paralytic poliomyelitis
- Asymmetrical
- at onset of paralysis - high grade fever
2. Traumatic neuritis : History of IM gluteal
3. Transverse myelitis : (Usually viral) Varicella
4. Guillain-Barré Syndrome - GBS (AIDP)
- follows C.Jejuni diarrhoea - 10 days later - GBS
other - Mycoplasma - Ascending , Areflexic , Symmetrical paralysis
- Proximal muscles affected 1st
- CSF : Albumino-cytological dissociation (at the end of 2nd week) - MCQ
- NCV : decreased , symmetrical demyelinating neuropathy
- Treatment : Iv-Ig , Plasmapheresis
MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel
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