GBS: 6 MORE PEARLS

West Nile virus  can mimic Guillain-Barré–like syndrome

Cardiovascular monitoring is important early in the disease course

The CSF protein is usually elevated to more than twice the upper limit of normal, the glucose level is normal, and there is no pleocytosis( fewer than 10 white blood cells/mm3). Cytoalbuminologic dissociation in a patient with an acute or sub acute polyneuropathy is essentially diagnostic of GBS

EGRIS is Erasmus GBS Respiratory Insufficiency Score

Fatigue is the most common long-term residuum of GBS

Improvement usually follows a gradient opposite the direction of involvement- bulbar function recovering first and lower extremity weakness resolving last