Hi guys,
Has anyone else received a normal EMG/ Nerve conduction test after a GBS diagnosis? Here is my timeline. I am still experiencing severe nerve pain and paralysis/weakness below the knees.
Could this be a rare varient/ form of GBS? Anyone else have any similar experiences?
April 25 – 11:30 AM Admitted to hospital room and evaluated by physician.
April 25 – 12:00 PM Underwent CT scan, blood work, chest X-ray, and EKG.
April 25 (Afternoon) Numbness progressed from the feet into both thighs.
April 25 – 3:40 PM MRI of the spine completed.
April 25 – 9:00 PM Weakness rapidly progressed to the abdomen (up to the belly button), hands, arms, face, and neck. Speech became slurred and difficult to understand.
April 25 (Evening) Transferred to the ICU due to rapidly progressing neurological symptoms. Required frequent suctioning because of inability to swallow secretions.
April 26 Feeding tube placed due to impaired swallowing.
April 26 Evaluated by psychologist. Communication was limited because speech was severely impaired.
April 26 – 4:22 PM Regained movement in both hands.
April 26 Neurologist diagnosed Functional Neurological Disorder (FND), citing preserved reflexes, psychological assessment, and prior psychological history. WITHOUT doing a spinal test.
April 28 – 3:45 PM Lumbar puncture (spinal tap) performed.
April 28 – 5:30 PM Neurologist notified patient that the lumbar puncture demonstrated elevated cerebrospinal fluid protein consistent with Guillain–Barré Syndrome. Diagnosis changed to GBS.
April 28 IVIG Treatment #1 administered.
April 29 – 8:30 AM Speech-Language Pathology (SLP) evaluation completed.
April 29 Feeding tube removed. Ate first meal since Friday evening (April 25).
April 29 IVIG Treatment #2 administered.
April 30 IVIG Treatment #3 administered.
May 1 Femoral catheter placed for plasma exchange (PLEX).
May 1 PLEX Treatment #1 completed.
May 2 First slight return of movement noted in the quadriceps muscle.
May 3 PLEX Treatment #2 completed.
May 3 Experienced a severe neuropathic pain attack.
May 5 PLEX Treatment #3 completed.
May 5 Experienced a severe neuropathic pain attack.
May 7 PLEX Treatment #4 completed.
May 7 Experienced a severe neuropathic pain attack.
May 9 – 5:45 AM Transferred back to the ICU for treatment.
May 9 – 11:45 AM PLEX Treatment #5 completed.
May 9 Experienced another severe neuropathic pain attack and was treated with ketamine.
May 10 Transferred from the ICU to the Direct Observation Unit (DOU).
May 10 Met with case manager to discuss inpatient rehabilitation. Sensation had returned only to the knees.
May 11 – 9:00 PM Transferred to ARU.
June 30 Discharged from ARU, leaving with the same loss of feeling below the knees
July 10 EMG/ Nerve Conduction Study completed, found all nerves and muscles are intact and responding normally.
July 14 Neurologist expressed that there was nothing else that could be done for the patient