Acute flaccid paralysis

---

Acute flaccid paralysis (AFP)

Age group : 0 - < 15 years

Provided pseudoparalysis is ruled out :

1. Scurvy
2. Osteomyelitis
3. Syphilis
4. 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