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Evidence checklist

Guillain-Barré Syndrome

DC 8099-801138 CFR § 4.124aNeurological

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 4 collected
EMG/nerve conduction study documenting demyelinating or axonal polyneuropathyCritical

Electrodiagnostic testing showing the characteristic GBS pattern: slowed conduction velocity, prolonged distal latencies, absent F-waves, and conduction block consistent with acute inflammatory demyelinating polyneuropathy (AIDP) or AMAN/AMSAN variants.

Private provider · independent opinion
Lumbar puncture CSF analysis showing cytoalbuminous dissociation

CSF results showing elevated protein with normal or near-normal cell count (albuminocytologic dissociation), the characteristic GBS CSF finding.

Private provider · independent opinion
Nexus opinion linking GBS to service (at least as likely as not)Critical

Medical opinion connecting GBS to an in-service infection (Campylobacter, CMV, EBV), vaccine administration during service, or surgery.

Private provider · independent opinion
Current functional assessment documenting residual deficitsCritical

Neurologist evaluation documenting chronic GBS residuals: persistent weakness, fatigue, sensory loss, pain, and autonomic dysfunction that affect daily activities.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Acute hospitalization records and ICU/ventilator recordsCritical

Records from the acute GBS episode including ICU admission, mechanical ventilation, plasmapheresis, or IVIG treatment. Establishes severity of initial episode.

VA or private records · written request
03

Lay statements

0 of 2 collected
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Peripheral Nerves ConditionsCritical

VA standardized form capturing residual motor and sensory deficits from GBS for rating under peripheral nerve diagnostic codes.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180

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