Anonymous
06-04-2003, 11:20 PM
What is it?
Brain Tingler
A 22-year-old man is brought to an emergency department because he has developed prominent neurologic symptoms over a several hour period. At the time of examination, he is experiencing tingling, prickling, and increased sensitivity over most of his body, and his feet and legs are becoming progressively weak. By the fifth day of his illness, his arms and legs are paralyzed and he has been intubated because of concern about respiratory muscle paralysis. His dietary history is unremarkable, and he has specifically not had home or commercially canned or vacuum-packed foods during the several days preceding his illness. He did have a severe case of diarrhea about 10 days prior to developing neurologic symptoms. He has not been exposed to ticks. Cerebrospinal fluid studies show an increase in protein with normal cellularity. Which of the following is the most likely diagnosis?
(A) Botulism
(B) Guillain-Barré syndrome
(C) Multiple sclerosis
(D) Poliomyelitis
(E) Stroke
Brain Tingler
A 22-year-old man is brought to an emergency department because he has developed prominent neurologic symptoms over a several hour period. At the time of examination, he is experiencing tingling, prickling, and increased sensitivity over most of his body, and his feet and legs are becoming progressively weak. By the fifth day of his illness, his arms and legs are paralyzed and he has been intubated because of concern about respiratory muscle paralysis. His dietary history is unremarkable, and he has specifically not had home or commercially canned or vacuum-packed foods during the several days preceding his illness. He did have a severe case of diarrhea about 10 days prior to developing neurologic symptoms. He has not been exposed to ticks. Cerebrospinal fluid studies show an increase in protein with normal cellularity. Which of the following is the most likely diagnosis?
(A) Botulism
(B) Guillain-Barré syndrome
(C) Multiple sclerosis
(D) Poliomyelitis
(E) Stroke