An 8-year-old female child presented to ER with sudden onset of weakness of both lower limbs after awakening from sleep. Her history was uneventful except for a flu-like illness 3 weeks before this admission. Gradual worsening of symptoms is noted in the form of ascending paralysis, and respiratory discomfort. What is the treatment strategy for this child?
Intravenous calcium gluconate
Ans. C. IVIG
Explanation: Acute onset ascending paralysis in a child is classically seen in Guillain-Barre syndrome aka AIDP ( acute inflammatory demyelinating polyneuropathy). Often preceded by a URTI or acute gastroenteritis. Diagnosis is made clinically, CSF analysis can show albuminocytological dissociation and abnormal NCV finding appear usually after 1 week of illness. Intravenous immunoglobulin is the treatment of choice.