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Dr Hill,

 

Thank you for this patient me, who is a man. He was with a brain stem infarction, after by his GP to the emergency department.

The patient noticed facial weakness progressive weakness in the upper and lower . He also of and in the limbs.

I agree with your diagnosis that he has infarction.

blood tests showed no abnormality and puncture revealed a protein of 6.0 g/L; no red blood cells, white blood cells or microbes were .

I would call your to the fact that the diagnosis of the patient is Guillain-Barré syndrome (GBS), which is a autoimmune polyradiculomyelitis.

I would also that GBS is a possible response the nervous system to an immunological . It may occur with malignancy, after surgical procedures or the administration of .

In the process of the differential diagnosis , botulism, porphyria, toxic neuropathy or poliomyelitis should always .

I should the fact that oxygen therapy (ventilation) may be for the patient when the oxygen in the blood decreases to a critical level. , blood gas levels should continuously . The patient should receive immunoglobulin and plasmapheresis as well.

 

Yours ,

 

Lea/Tim Bell, MD

Clinical neurologist

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