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Doctor insights on: Alternative Treatments For Guillain Barre Syndrome

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What is the preferred mode of treatment for guillain barre syndrome: immunoglobulin or plasmepheresis?

What is the preferred mode of treatment for guillain barre syndrome: immunoglobulin or plasmepheresis?

IVIG: Recent evidence supports use of ivig if disease is evolving rapidly toward total paralysis. Benefit is similar to plasmapheresis but better tolerated and easier to manage in most hospital settings. ...Read more

Dr. Linda Callaghan
113 Doctors shared insights

Guillain Barre Syndrome (Definition)

A disorder in which the body's immune system attacks part of the peripheral nervous system. The first symptoms of this disorder include varying degrees of weakness or tingling ...Read more


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What is the treatment for guillain barre syndrome?

What is the treatment for guillain barre syndrome?

See below:: Treatment of guillain-barré syndrome may include plasma exchange (plasmapheresis) and high-dose immunoglobulin therapy. A respirator may be used if the patient requires assistance to breathe. Physical therapy can begin after the patient recovers limb control. The recovery period: a few weeks or as long as a few years. About 30% may suffer from residual weakness after 3 years. ...Read more

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Can physical and speech therapy help with guillain-barre syndrome?

Can physical and speech therapy help with guillain-barre syndrome?

Speech therapy & GBS: Speech therapy can be very helpful to improve speech and promote safe swallowing in patients who have significant weakness of the tongue, palate and throat, or who have had a tracheostomy.

Physical therapy can also be very helpful to attempt to minimize physical function deficits and prevent muscle wasting and joint contractures. ...Read more

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How many treatments of ivig/plasphorosis should a person with guillain barre have? I had 5 of each once. People say I should have more is this true?

How many treatments of ivig/plasphorosis should a person with guillain barre have? I had 5 of each once. People say I should have more is this true?

Probably not.: Gbs treatment with 5 days of ivig is standard. Plasmapheresis, when used, is generally 4-6 treatments. Your doctor/neurologist knows what's right for you. Sounds like she/he is doing the right thing for you. ...Read more

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I had guillain barre for 10 months and still cannot walk dr told me I had the aman variant of gbs. Drs took 3 weeks to start my treatment. Outcome?

I had guillain barre for 10 months and still cannot walk dr told me I had the aman variant of gbs. Drs took 3 weeks to start my treatment. Outcome?

Nerve weakness: There is a variant which causes eye and coordination problems, but outcome should be quite similar in general if timely therapy is initiated. Your description certainly raises a question of chronic guillain-barre, which would do better with ivig once monthly. Suggest you have a followup emg, possible spinal tap, and get a treatment program started. Maybe, a second opinion? ...Read more

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I have had guillain barre for 11 months and still feel tingling on my feet does it mean that I have the chronic type? How many treatments of ivig?

I have had guillain barre for 11 months and still feel tingling on my feet does it mean that I have the chronic type? How many treatments of ivig?

Let's assess.: If all that persists is tingling, then your healing process has gone well, and soon, that will disappear also. If your weakness were to recur, or your sensory problems magnify, it would be time to get reassessment and a new emg, and even lumbar puncture, as then we could consider cidp. Ivig is not appropriate or helpful for your symptoms. ...Read more

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Good place to treat guillain-barre syndrome?

Good place to treat guillain-barre syndrome?

See below: Any large teaching or community hospital can treat a patient with gbs if they offer the following capabilities: neurologic consultation 7 days/week, a neurologic ICU or med ICU familiar with neurologic patients/complications, ICU pharmacy that can provide ivig 7 days a week and/or Albumin for plasmapheresis 7 days/week, experienced pt, ot, speech & respiratory therapists, and good rehab. That's all. ...Read more

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What are the early symptoms of somebody starting to get guillain-barre syndrome?

What are the early symptoms of somebody starting to get guillain-barre syndrome?

Paresthesias/weak: Guillain-barre can progress very fast but usually starts with strange sensations in the extremities and then weakness that also starts from the extremities, gets more severe affecting trunk. It is critical to get medical attention before the weakness progresses to the diaphragm/muscles of breathing. Rarely (about 5-10%) of the time, these muscles are affected first/early - variant gb. ...Read more

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Can guillain Barre' syndrome lead to mesothelium gravis?

No: These are two discreet clinical entities. One causes demyelination of the peripheral nerve due to an autoimmune response the other causes an antibody mediated response on the acetylcholine receptor on the nerve muscle junction. ...Read more

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My mom had guillain barre syndrome, can I get that syndrome too?

No: You can certainly get it, but it is not an inheritable disease. Gb is an autoimmune disease that often follows an infection. It is not common. ...Read more

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Is there a connection between guillain barre syndrome and bells palsy?

Yes: The famous c miller fisher described facial paresis with ataxia and areflexia as a variant of guillain barre. This fisher variant is rare but well known. ...Read more

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How does getting a plasma exchange help patients with guillain- barre syndrome?

Antibodies in the: Plasma fraction are driving the nerve injury. Remove the immune proteins to arrest the process. ...Read more

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Need medical advice for leg pain after guillain-barre syndrome earlier in the year?

Need medical advice for leg pain after guillain-barre syndrome earlier in the year?

See your doctor: You should let your doctor know you are having pain. He/she can examine you and possibly run tests to find out the cause. ...Read more

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Can I still get an epidural after having guillain barre syndrome? I heard that it can cause the gbs to reoccur. Can gbs cause problems with labor?

Can I still get an epidural after having guillain barre syndrome? I heard that it can cause the gbs to reoccur. Can gbs cause problems with labor?

Gbs can be: Triggered by pregnancy and labor whether an epidural is present or not. You would have to weigh the risks and benefits versus more traditional pain control. Have this conversion before you are in labor with your OB and anesthesiologist. ...Read more

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What's it like to live with guillain barre syndrome?

Usually acute: Gbs is an ascending weakness of first legs, later arms, and bilateral face, usually following an infection, which can cause difficulty breathing, but if treated in timely fashion with ivig or plasmapheresis, should stabilize, reverse and recover. If chronic cidp develops, will respond very well to ivig. ...Read more

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What are the most common symptoms of guillain-barre syndrome?

GBS: Guillain-barre syndrome presents with progressive weakness starting at distal parts of limbs and moving upwards towards the torso. The extremity eventually may become limp. It can also affect the respiratory muscles and the patient my end up on a ventilator in an icu. Other unusual symptoms are changes in heart and blood pressure. ...Read more

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How are the classic symptoms of guillain barre syndrome like?

How are the classic symptoms of guillain barre syndrome like?

Guillain-Barre: Is a form of ascending paralysis which has several major forms and can result in long term persistent neurological deficits. There is a recent excellent review of this illness in the new england journal of medicine. Look online. ...Read more

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What is the definition or description of: guillain barre syndrome?

Ascending weakness: French neurologists described a condition of progressive weakness following an illness. First by guillain and barre then added to by landray and stohl describing more severe forms with respiratory paralysis. Most cases progress up legs to trunk to arms, then slowing recover to normal. Some affect breathing, swallow and facial movement. Some with dizziness and double vision (fisher variant). ...Read more

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What is the long-term outlook for those with guillain-barre syndrome?

What is the long-term outlook for those with guillain-barre syndrome?

Very Good: Around 80% of people who contract guillain-barre will go on to make a full-recovery and live a normal life. About 10% will have some sort of long-term disability, such as motor or sensory nerve damage or recurrent episodes. Those with recurrent episodes are classified as having chronic inflammatory demyelinating polyneuropathy (cipd). ...Read more

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How come I had guillain-barre syndrome, but nobody else in the family has ever had it?

Not familial: Gbs is a postinfectious, immune-mediated disease. Cellular and humoral immune mechanisms probably play a role in its development. Most patients report an infectious illness in the weeks prior to the onset of gbs. Epidemiological studies have failed to demonstrate a familial connection or predilection for the syndrome. ...Read more

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Can guillain-barre syndrome be fatal?

Yes: Guillain barre causes ascending paralysis. If the paralysis gets to the muscle of breathing, then breathing may stop. Some patients need to be on a ventilator to save their lives. If the paralysis happens too quickly or ventilation is not available, the patient will die. However, if full support is provided, full recovery is expected back to normal. ...Read more

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Guillain barre syndrome--what is the reason you get it?

Guillain barre syndrome--what is the reason you get it?

Autoimmune: Our best understanding is that the body's immune system reacts against a new antigen (usually after a viral infection but this isn't always possible to identify). The newly primed immune system then inappropriately attack's the body's nervous system leading to the syndrome. ...Read more

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How are campylobacteriosis and guillain-barre syndrome different?

Campylobacteriosis: Is the bacterial infection that can, very rarely, lead to a neurologic disease, guillain-barre syndrome (gbs) that causes demyelination and neuronal issues with subsequent weakness. The bacteriosis is only the bacterial infection, where gbs is the neurologic aftermath people can get from possibly autoimmune attack on there nerves. ...Read more

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Which peripheral nerves are affected with guillain barre syndrome?

Which peripheral nerves are affected with guillain barre syndrome?

Affected nerves are:: Any peripheral sensory-motor branch of nerves that affect the anterior musculature of the leg and foot. Becuase gb causes upper motor nerve disruption of muscular function, the most affected nerves are those in the lower leg and foot that are part of the "swing" phase of gait, namely the extensor muscle of the foot and anterior tibialis muscle. The nerve roots affected are l3-l4-l5-s1. ...Read more

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What are the differences between campylobacteriosis and guillain-barre syndrome?

Simple: Guillain-Barre is an acute autoimmune polyneuritis, which may be triggered by a bowel infection, campylobacter jejuni, but also could be triggered by influenza A, and Ebstein-Barr virus. ...Read more

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Guillain barre syndrome connected to eczema?

Guillain barre syndrome connected to eczema?

No connection: There is no relationship between guillain barre syncroe and eczea. ...Read more

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Can guillain barre syndrome come on right after infection?

Yes, especially GI: Guillain barre syndrome is often preceded by an immune stressor such as an infection. Most classically, it is caused by campylobacter, but associations have been seen with cmv, flu, and many other infections. Often, a clear trigger cannot be identified. ...Read more