Doctor insights on:
Medicine For Guillain Barre Syndrome
Acute neuritis: An ascending rapidly progressive weakness then paralysis, starting typically bilaterally in legs, later arms and hands, and later yet issues with swallowing and breathing, often following influenza, but also seen with infectious mono, some GI infections, and could lead to respiratory collapse if not properly treated. ...Read more
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
Motor weakness: Guillian-barre is an inflammatory disease of the nerve roots that results in pain and progressive motor weakness. It can cause paralysis, breathing failure and problems with the cardiovascular system. If it is suspected, it should be evaluated and treated emergently. Proper treatment can be lifesaving and result in full or near full recovery. ...Read more
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
I vote yes: At the onset I would say yes! ...Read more
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
Response: Why did you ask this question? Do you have progressive ascending weakness which has started a few days ago? If so, get to a hospital ASAP, you are at risk. Sorry, I have no clue what "something else" is!! ...Read more
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
Depends: There is no telling how you personally will recover. It depends on the degree of damage done to your nerves and muscles. Some changes may be irreversible. You may want to consult with a neurologist who may suggest nerve congestion study and electromyography to evaluate the degree of damage and the potential for reversal. ...Read more
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
GBS treatment: Treatment includes plasmapharesis and IV immunoglobulin therapy ...Read more
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
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
Is it possible to have had Guillain Barre syndrome and because of misdiagnosis not be hospitalized?
Unlikely: Most patients with Guillain Barre are very sick and need to be Hospitalisd ...Read more
Do I need to report guillain-barre syndrome as a long-term health condition, or does it go away after being treated?
Guillain-Barre: Some few people who recover may be left with slowly resolving neurologic deficits. This ascending polyneuropathy seldom if ever recurs once resolved. ...Read more
What to do if a friend was recently diagnosed with guillain barre syndrome and I can find nothing about it. Please help.?
Are you sure?: I just entered it in google, and came up with a wealth of good information--from the mayo clinic, wikipedia, the national library of medicine, and the nih. Please try again, and write back if you have a more specific question. It's impossible for us to give entire disease summaries in the limited space available. ...Read more
No one knows: Gbs occurs when the bodies immune system attacks the lining or myelin of the nerve cells in the peripheral nervous system. Although it can be associated with things like following surgery or after certain infections, for example it has been seen following campylobacter infection which causes diarrhea, the true cause is unknown. ...Read more
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
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
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
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
Positive attitude...: Try to be as positive as you can! ...Read more
I did a search for diagnosis of some of my symptoms and came up with guillain-barre syndrome. What do doctors look for to diagnose it?
Guillain-Barre syndr: Guillain-barre syndrome is a post-viral disease where antibodies attack the lining of the nerves. The longest nerves get affected first--i.e., the nerves to the hands and feet. You may feel some numbness, but the hallmark sign is weakness, ultimately inability to walk. Symptoms are progressive and ultimately if the diaphragm muscle gets weak you will have trouble breathing. ...Read more
Guillain-barre syndrome----what are common neuropathy symptoms? Is isolated sensations to one side of the body common?
Numbness: Guillain-barre syndrome is a demylinating disease of the nerves and causes numbness, weakness and can progress to paralysis. The condition usually improves over time. The condition can affect only a few nerves and only one side of the body but is usually bilateral and ascends up the body. ...Read more
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
What is the preferred mode of treatment for guillain barre syndrome: immunoglobulin or plasmepheresis?
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