ACUTE FLACCID PARALYSIS-REVIEW OF CASES WITH DIVERSE PRESENTATIONS

Abstract

This study was done in 50 patients at the department of neurology,Madurai medical college,Govt rajaji hospital from March 2019 to august 2019.AFP cases were diagnosed based on detailed history including onset,duration,precipitating factors,relieving factors,risk factors, recurrences ,associated symptoms and physical examination. The underlying etiology was ascertained by appropriate laboratory investigations such as RBS, serum potassium levels, CSF analysis, electrophysiological studies and Neuro imaging. Most of the patients belonged to Mean age group 21 to 40yrs 19(38%). Data was collected and statistical analysis was done.Males constituted 78% (39/50) and females constituted 22% (11/50). Out of 50 patients,14(28%) were suffering from Acute Inflammatory Demyelinating Polyneuropathy(AIDP), 4(8%) from Acute motor axonal neuropathy(AMAN), 3(6%) from Road traffic accident( RTA), 3(6%) from Hypokalemic periodic paralysis(HPP),3(6%)from snake bite,2(4%) from post vaccination induced AIDP,2(4%)from Miller fisher variant,2(4%) from NMOSD,2(4%) from recurrent GBS,2(4%)from transverse myelitis,2(4%) from diabetic polyradiculopathy, others 11(22%). AIDP was the most common cause of AFP in all age groups. Good prognosis noted in these group of patient 26(52%)