<prompt> True about GuiUian-Barre syndrome is all EXCEPT:InflammatoryDemyelinatingDescendingPlasmapheresis can be done  <response>: ANSWER: C DescendingREF: Robbins 7ch edition page 1331, Harrison s 17 edition page 2667GUILLIAN-BARRE SYNDROME:Inflammatory, acuteDemyelinating polyneuropathyAutoimmune disorderxAscending paralysis weakness beginning in the feet and hands and migrating towards the trunkEtiology:Preceding evidence of viral infection : CMV, EBV , Campylobacter jejuniLupus erythematosus , lymphomaClinical features:Predominantly motorSensoryAutonomicParaplegia, QuadriplegiaProxiomal muscles distalAscending paralysisCranial nerve paralysis bulbar and facialAreflexiaMay or may not be present Bladder and bowel rarely involvedPostural hypotensions with episodes of hypertensionCSF findings:Albumin - cytological disas so elationCSF pleocytosis with cells 50cu mm is against diagnosis of GBSPrognosis: recovery is usually unremarkable, although complete recovery may not be there.Treatment: Both plasmapheresis and IVIG are equally effective. 