Abstract
A young girl presented one week after a sporadic diarrheal illness with copious salivation and progressive motor weakness. Initially this was more prominent in her bulbar muscles and resulted in an aspiration pneumonia. During the course of her illness she had multiform seizures; flaccid then spastic quadriparesis; intense dysautonomia; dysconjugate gaze; truncal and limb ataxia; respiratory failure requiring mechanical ventilation; and CSF abnormality. Available tests and assessment for alternate pathology, did not yield results. Despite a stormy course, she made a complete recovery and was discharged after 42 days of hospitalization. Intravenous Immunoglobulin and ventilator therapy influenced the outcome
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