My father, age 64 years, had fever for 3 days, since then he had difficulty in walking which deteriorated suddenly on 9th august 2013, morning, when he unable to left himself from the bed & unable to walk. So we took him to a nearby hospital.
Then he was thoroughly evaluated & investigated. On examination he shows power grade 3/5 (bilateral lower limbs) & DTR absent in bilateral lower limbs.
The neurologist who was evaluating the case asked us to go for NCV for 4 limbs.
Then NCV/EMG report summary shows as below:
MNC: Prolonged DL, reduced CMAP amplitude & conduction velocity in bilateral median and ulnar nerves. Not recordable in rest of all nerves tested.
SNCS: Not recordable in all the tested nerves
F-WAVE: Not recordable in all the tested nerves
H-reflex: Not recordable both lower limbs.
Impression: EPS suggestive of predominantly demyelinating sensori-motor polyneuropathy involving both upper & lower limbs. Correlate clinically.
Thereafter doctor admit him in the hospital in MICU as doctor understand that this is a case of AIDP-GBS, so he was managed with IV fluids, IV-Immonogloulin infusion for 5 days, antihypertensives, insulin & other supportive measures, as he got known case of type II diabetes mellitus & hypertension on medication.
But now he is not able to sleep continuously for more than 3 hrs at a stretch at night & some times he complain that he got breathing problem whenever we cook food at home. Though during his stay at hospital doctor investigate & found no problem in respiratory system.