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Immune or not immune: two cases of acute flaccid motor paralysis

Consultant Neurologist, Queen Margaret Hospital, Whitefield Road, Dunfermline, Fife KY12 0SU, UK; mconnor@staffmail.ed.ac.uk

The first 150 words of the full text of this article appear below.

CASE 1

A 40-year-old man of Chinese descent presented with severe weakness. I was asked to review him in the intensive care unit where he had been admitted with a diagnosis of Guillain-Barré syndrome (GBS). He had not required intubation and was able to give his own history.

He had been entirely well with no past history of note until three months previously when he first experienced severe cramping in his thigh muscles at night, usually around three o’clock in the morning. He would wake up and walk around for about 30 minutes, with stiff legs, take a non-steroidal anti-inflammatory and return to bed. The symptoms would rapidly settle and he would awake the next morning well. Over the eight weeks before admission he had experienced two bouts of "flu-like illness". He felt that he was "run down" and began drinking an energy sports drink to improve his general condition. After the . . . [Full text of this article]