All are true regarding treatment of Guillain-Barre syndrome except-: (A) Coicosteroid used for early recovery and prevent long stay, (B) High dose intravenous immune globulin (IVIg) can be initiated, (C) Plasmapheresis can be done, (D) High-dose intravenous immune globulin (IVIg) and plasmapheresis are equally effective
Answer is A. Harrison's principles and practices of medicine 22 edition. *Active treatment with plasma exchange (plasmapheresis)or intravenous immunoglobulin therapy shoens the duration of ventilation and improves prognosis in case of GBS. In severe GBS,i.v Ig staed within 2 weeks of onset hasten recovery as much as plasmapheresis In mild GBS,2 session of plasmapheresis In moderate ,4session is significantly superior to 2 .