Case challenge · Neurology / Critical care / Emergency · teaching

Guillain-Barré Syndrome (GBS) — Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on Merck / AMBOSS

Case #1Neurology / Critical care / Emergency

📋 Case data

Respiratory/bulbar involvement?Mild, stable, no respiratory involvement

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Respiratory/bulbar involvement?

Acute ascending flaccid paralysis — respiratory/bulbar involvement or rapid progression?

💡 Acute immune-mediated polyradiculoneuropathy, ~65% with an antecedent infection (1–3 weeks before). Bilateral ascending flaccid paralysis, areflexia ± sensory symptoms; may involve respiratory/bulbar/facial muscles, autonomic (arrhythmia, BP swings). Clinical diagnosis (Asbury), supported by CSF albuminocytologic dissociation (high protein, normal cell count; may take up to 1 week to appear, ~10% negative) + EMG. An emergency, ICU monitoring.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.