Question:

Which of the following answer choices is false?
1. The diagnosis is usually established on the basis of symptoms and signs
2. Cerebro-spinal fluid analysis reveals pleocytosis
3. A mild respiratory or gastrointestinal tract infection precedes the onset of symptoms
4. The spinal cord and nerve roots in the thecal sac generally do not take up much gadolinium.
5. MR imaging may be helpful in evaluating the severity of the disease and predicting its outcome





Answer:

The correct answers for the question "Which of the following answer choices is false?" are:

1. The diagnosis is usually established on the basis of symptoms and signs

3. A mild respiratory or gastrointestinal tract infection precedes the onset of symptoms

4. The spinal cord and nerve roots in the thecal sac generally do not take up much gadolinium.

5. MR imaging may be helpful in evaluating the severity of the disease and predicting its outcome



Explanation

1. The diagnosis is usually established on the basis of symptoms and signs.( Because the diagnosis of Guillain-Barré syndrome is determined mainly on the basis of clinical findings and CSF analysis, most imaging studies are realized to exclude other conditions).

2. Cerebro-spinal fluid analysis reveals pleocytosis (Cerebro-spinal fluid analysis typically reveals elevated protein concentrations without pleocytosis)

3. A mild respiratory or gastrointestinal tract infection precedes the onset of symptoms (In approximately two thirds of cases, a mild respiratory or gastrointestinal tract infection precedes the onset of symptoms).

4. The spinal cord and nerve roots in the thecal sac generally do not take up much gadolinium (The spinal cord and nerve roots in the thecal sac generally do not take up much gadolinium because of the blood-nerve barrier or blood-brain barrier).

5. MR imaging may be helpful in evaluating the severity of the disease and predicting its outcome .(With many patients MR imaging may be helpful not only in diagnosing Guillain-Barré syndrome, but also in evaluating the severity of the disease and predicting its outcome).



From the manuscript:
Spinal MRI Findings of Guillain-Barré Syndrome
Radiology Case. 2009 Mar; 3(3):25-28


This article belongs to the Neuro section.




Bookmark and Share

From the manuscript

Spinal MRI Findings of Guillain-Barré Syndrome

Free full text article: Spinal MRI Findings of Guillain-Barré Syndrome

Abstract
Guillain-Barré syndrome is a relatively common, acute, and rapidly progressive, inflammatory demyelinating polyneuropathy. The diagnosis is usually established on the basis of symptoms and signs, aided by cerebrospinal fluid findings and electrophysiologic criteria. Previously, radiologic examinations have been used only to rule out other spinal abnormalities. We report a case of systemic lupus erythematosus associated with Guillain-Barré syndrome with marked enhancement of nerve roots of the conus medullaris and cauda equina on MR imaging. These MR observations may help confirm the diagnosis of Guillain-Barré syndrome.






References



1. Byun WM, Park WK, Park BH, Ahn SH, Hwang MS, Chang JC. Guillain-Barré syndrome: MR imaging findings of the spine in eight patients. Radiology 1998 Jul; 208(1):137-41.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Coskun A, Kumandas S, Paç A, Karahan OI, Guleç M, Baykara M. Childhood Guillain-Barré syndrome. MR imaging in diagnosis and follow-up Acta Radiol
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Fulbright RK, Erdum E, Sze G, Byrne T. Cranial nerve enhancement in the Guillain-Barré syndrome. AJNR Am J Neuroradiol 1995 Apr;16(4):923-5.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Iwata F, Utsumi Y. MR imaging in Guillain-Barré syndrome. Pediatr Radiol 1997 Jan;27(1):36-8.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Baran GA, Sowell MK, Sharp GB, Glasier CM. MR findings in a child with Guillain-Barré syndrome. AJR Am J Roentgenol 1993 Jul;161(1):161-3.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Matsuki M, Okada N, Matsuo M. Case report: MR findings of Guillain-Barré syndrome. Radiat Med 1998 Mar-Apr;16(2):133-5.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine




Search for articles with similar topics:

Keyword search:

1. Guillain-Barré syndrome

2. spinal MRI


This article belongs to the Neuro section.


Search for more in the Internet

Peer-reviewed Radiology Search




Discuss it!

Bookmark and Share




© Journal of Radiology Case Reports - The Interactive Radiology Journal
Affiliated journal of Radiolopolis - The International Radiology Community


The Journal of Radiology Case Reports