A 40-year-old male presents with a history of rapidly
progressive weakness of his legs of 4 days duration. He gives a history of
gastroenteritis about 3 weeks prior to this. He has been otherwise fit and
healthy. He does not smoke or drink and does not take any medication.
On examination he has a flaccid weakness of his lower
limbs with absent reflexes. There is impairment of sensation upto his thighs.
Investigations reveal normal haematology and
biochemistry. Lumbar puncture is performed and this shows:
Pressure 16 mm CSF
CSF protein 3.4 g/dL
CSF glucose 4 mmol /L
Gram stain – no organisms
Plasma glucose 4.5 mmol/L
In this patient which one of the following would give the
patient the most benefit:
High dose steroids