Guillain-Barré syndrome history and symptoms: Difference between revisions
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* Patients with Guillain Barre syndrome may have a positive history of: | * Patients with Guillain Barre syndrome may have a positive history of: | ||
** Prior infection such as: | ** Prior infection such as: | ||
*** Campylobacter jejuni:<ref name="pmid9396689">{{cite journal |vauthors=Hughes RA, Rees JH |title=Clinical and epidemiologic features of Guillain-Barré syndrome |journal=J. Infect. Dis. |volume=176 Suppl 2 |issue= |pages=S92–8 |date=December 1997 |pmid=9396689 |doi= |url=}}</ref> | *** [[Campylobacter jejuni]]:<ref name="pmid9396689">{{cite journal |vauthors=Hughes RA, Rees JH |title=Clinical and epidemiologic features of Guillain-Barré syndrome |journal=J. Infect. Dis. |volume=176 Suppl 2 |issue= |pages=S92–8 |date=December 1997 |pmid=9396689 |doi= |url=}}</ref> | ||
**** gastroenteritis | **** [[gastroenteritis]] | ||
*** Cytomegalovirus:<ref name="pmid10406985">{{cite journal |vauthors=Kuwabara S, Ogawara K, Koga M, Mori M, Hattori T, Yuki N |title=Hyperreflexia in Guillain-Barré syndrome: relation with acute motor axonal neuropathy and anti-GM1 antibody |journal=J. Neurol. Neurosurg. Psychiatry |volume=67 |issue=2 |pages=180–4 |date=August 1999 |pmid=10406985 |pmc=1736477 |doi= |url=}}</ref> | *** [[Cytomegalovirus]]:<ref name="pmid10406985">{{cite journal |vauthors=Kuwabara S, Ogawara K, Koga M, Mori M, Hattori T, Yuki N |title=Hyperreflexia in Guillain-Barré syndrome: relation with acute motor axonal neuropathy and anti-GM1 antibody |journal=J. Neurol. Neurosurg. Psychiatry |volume=67 |issue=2 |pages=180–4 |date=August 1999 |pmid=10406985 |pmc=1736477 |doi= |url=}}</ref> | ||
**** | **** Respiratory infection, [[mononucleosis]] and flu-like symptoms. | ||
*** Haemophilus | *** [[Haemophilus influenzae]]<ref name="pmid10214761">{{cite journal |vauthors=Mori M, Kuwabara S, Miyake M, Dezawa M, Adachi-Usami E, Kuroki H, Noda M, Hattori T |title=Haemophilus influenzae has a GM1 ganglioside-like structure and elicits Guillain-Barré syndrome |journal=Neurology |volume=52 |issue=6 |pages=1282–4 |date=April 1999 |pmid=10214761 |doi= |url=}}</ref> | ||
*** Epstein-Barr virus | *** [[Epstein Barr virus|Epstein-Barr virus]] | ||
**** Mononucleosis | **** [[Mononucleosis]] | ||
*** Varicella zoster virus<ref name="pmid3404161">{{cite journal |vauthors=Winer JB, Hughes RA, Anderson MJ, Jones DM, Kangro H, Watkins RP |title=A prospective study of acute idiopathic neuropathy. II. Antecedent events |journal=J. Neurol. Neurosurg. Psychiatry |volume=51 |issue=5 |pages=613–8 |date=May 1988 |pmid=3404161 |pmc=1033063 |doi= |url=}}</ref> | *** [[Varicella zoster virus]]<ref name="pmid3404161">{{cite journal |vauthors=Winer JB, Hughes RA, Anderson MJ, Jones DM, Kangro H, Watkins RP |title=A prospective study of acute idiopathic neuropathy. II. Antecedent events |journal=J. Neurol. Neurosurg. Psychiatry |volume=51 |issue=5 |pages=613–8 |date=May 1988 |pmid=3404161 |pmc=1033063 |doi= |url=}}</ref> | ||
**** Chicken pox | **** [[Chicken pox]] | ||
*** HIV-1<ref name="pmid3674806">{{cite journal |vauthors=Berger JR, Difini JA, Swerdloff MA, Ayyar DR |title=HIV seropositivity in Guillain-Barré syndrome |journal=Ann. Neurol. |volume=22 |issue=3 |pages=393–4 |date=September 1987 |pmid=3674806 |doi=10.1002/ana.410220320 |url=}}</ref> | *** [[HIV]]-1<ref name="pmid3674806">{{cite journal |vauthors=Berger JR, Difini JA, Swerdloff MA, Ayyar DR |title=HIV seropositivity in Guillain-Barré syndrome |journal=Ann. Neurol. |volume=22 |issue=3 |pages=393–4 |date=September 1987 |pmid=3674806 |doi=10.1002/ana.410220320 |url=}}</ref> | ||
** Recent vaccination:<ref name="pmid2450302">{{cite journal |vauthors=Hemachudha T, Griffin DE, Chen WW, Johnson RT |title=Immunologic studies of rabies vaccination-induced Guillain-Barré syndrome |journal=Neurology |volume=38 |issue=3 |pages=375–8 |date=March 1988 |pmid=2450302 |doi= |url=}}</ref><ref name="pmid1851395">{{cite journal |vauthors=Safranek TJ, Lawrence DN, Kurland LT, Culver DH, Wiederholt WC, Hayner NS, Osterholm MT, O'Brien P, Hughes JM |title=Reassessment of the association between Guillain-Barré syndrome and receipt of swine influenza vaccine in 1976-1977: results of a two-state study. Expert Neurology Group |journal=Am. J. Epidemiol. |volume=133 |issue=9 |pages=940–51 |date=May 1991 |pmid=1851395 |doi= |url=}}</ref> | ** Recent vaccination:<ref name="pmid2450302">{{cite journal |vauthors=Hemachudha T, Griffin DE, Chen WW, Johnson RT |title=Immunologic studies of rabies vaccination-induced Guillain-Barré syndrome |journal=Neurology |volume=38 |issue=3 |pages=375–8 |date=March 1988 |pmid=2450302 |doi= |url=}}</ref><ref name="pmid1851395">{{cite journal |vauthors=Safranek TJ, Lawrence DN, Kurland LT, Culver DH, Wiederholt WC, Hayner NS, Osterholm MT, O'Brien P, Hughes JM |title=Reassessment of the association between Guillain-Barré syndrome and receipt of swine influenza vaccine in 1976-1977: results of a two-state study. Expert Neurology Group |journal=Am. J. Epidemiol. |volume=133 |issue=9 |pages=940–51 |date=May 1991 |pmid=1851395 |doi= |url=}}</ref> | ||
*** Influenza vaccine | *** [[Influenza vaccine]] | ||
*** Rabies vaccine | *** [[Rabies vaccine]] | ||
** Limb tingling and paresthesia | ** Limb tingling and [[paresthesia]] | ||
** Lower extremity weakness<ref name=":0" /> | ** Lower extremity weakness<ref name=":0" /> | ||
** muscle pain<ref name="pmid9040715" /> | ** muscle pain<ref name="pmid9040715" /> | ||
| Line 31: | Line 31: | ||
=== Common symptoms === | === Common symptoms === | ||
Common symptoms of Guillain Barre syndrome include: | Common symptoms of Guillain Barre syndrome include: | ||
* Most of Guillain Barre syndrome cases can be diagnosed based on partially symmetrical ascending weakness and paralysis. | * Most of Guillain Barre syndrome cases can be diagnosed based on partially symmetrical ascending weakness and [[paralysis]]. | ||
* Can cause sensory symptoms such as tingling and paresthesia.<ref name=":0">{{cite book | last = Mattle | first = Heinrich | title = Fundamentals of neurology : an illustrated guide | publisher = Thieme | location = Stuttgart New York | year = 2017 | isbn = 9783131364524 }}</ref> | * Can cause sensory [[Symptom|symptoms]] such as tingling and [[paresthesia]].<ref name=":0">{{cite book | last = Mattle | first = Heinrich | title = Fundamentals of neurology : an illustrated guide | publisher = Thieme | location = Stuttgart New York | year = 2017 | isbn = 9783131364524 }}</ref> | ||
* Because of nerve inflammation, in the acute phase of GBS patients complain of pain.<ref name="pmid9040715">{{cite journal |vauthors=Moulin DE, Hagen N, Feasby TE, Amireh R, Hahn A |title=Pain in Guillain-Barré syndrome |journal=Neurology |volume=48 |issue=2 |pages=328–31 |date=February 1997 |pmid=9040715 |doi= |url=}}</ref> | * Because of nerve inflammation, in the acute phase of GBS patients complain of pain.<ref name="pmid9040715">{{cite journal |vauthors=Moulin DE, Hagen N, Feasby TE, Amireh R, Hahn A |title=Pain in Guillain-Barré syndrome |journal=Neurology |volume=48 |issue=2 |pages=328–31 |date=February 1997 |pmid=9040715 |doi= |url=}}</ref> | ||
* Some of the features may be specific to different subgroups of GBS. | * Some of the features may be specific to different subgroups of GBS. | ||
** Acute inflammatory demyelinating polyneuropathy:<ref>{{Victor, M., 2001. Diseases of spinal cord peripheral nerve and muscle. Principles of Neurology}}</ref>(4) | ** Acute inflammatory [[demyelinating]] polyneuropathy:<ref>{{Victor, M., 2001. Diseases of spinal cord peripheral nerve and muscle. Principles of Neurology}}</ref>(4) | ||
*** It affects lower extremities first and then involves upper extremities, trunk, neck and cranial nerves. | *** It affects lower extremities first and then involves upper extremities, trunk, neck and [[cranial nerves]]. | ||
*** It can involve sensory neurons. | *** It can involve sensory neurons. | ||
*** Deep sensation is the most affected sense. | *** Deep sensation is the most affected sense. | ||
*** It causes areflexia | *** It causes [[areflexia]] | ||
*** In AIDP we may see autonomic involvement such as changes in heart rate and blood pressure and urinary retention. | *** In AIDP we may see [[Autonomic dysfunction|autonomic involvement]] such as changes in [[heart rate]] and [[blood pressure]] and [[urinary retention]]. | ||
** Acute motor axonal neuropathy/Acute motor and sensory axonal neuropathy:<ref name="pmid">{{cite journal |vauthors=Kuwabara S, Ogawara K, Koga M, Mori M, Hattori T, Yuki N |title=Hyperreflexia in Guillain-Barré syndrome: relation with acute motor axonal neuropathy and anti-GM1 antibody |journal=J. Neurol. Neurosurg. Psychiatry |volume=67 |issue=2 |pages=180–4 |date=August 1999 |pmid= |pmc=1736477 |doi= |url=}}</ref><ref name="pmid12084449">{{cite journal |vauthors=Kuwabara S, Nakata M, Sung JY, Mori M, Kato N, Hattori T, Koga M, Yuki N |title=Hyperreflexia in axonal Guillain-Barré syndrome subsequent to Campylobacter jejuni enteritis |journal=J. Neurol. Sci. |volume=199 |issue=1-2 |pages=89–92 |date=July 2002 |pmid=12084449 |doi= |url=}}</ref> | ** [[Acute motor axonal neuropathy]]/Acute motor and sensory axonal neuropathy:<ref name="pmid">{{cite journal |vauthors=Kuwabara S, Ogawara K, Koga M, Mori M, Hattori T, Yuki N |title=Hyperreflexia in Guillain-Barré syndrome: relation with acute motor axonal neuropathy and anti-GM1 antibody |journal=J. Neurol. Neurosurg. Psychiatry |volume=67 |issue=2 |pages=180–4 |date=August 1999 |pmid= |pmc=1736477 |doi= |url=}}</ref><ref name="pmid12084449">{{cite journal |vauthors=Kuwabara S, Nakata M, Sung JY, Mori M, Kato N, Hattori T, Koga M, Yuki N |title=Hyperreflexia in axonal Guillain-Barré syndrome subsequent to Campylobacter jejuni enteritis |journal=J. Neurol. Sci. |volume=199 |issue=1-2 |pages=89–92 |date=July 2002 |pmid=12084449 |doi= |url=}}</ref> | ||
*** Can causes hyperreflexia. | *** Can causes [[hyperreflexia]]. | ||
*** Autonomic dysfunction in absent or mild. | *** [[Autonomic dysfunction]] in absent or mild. | ||
*** AMSAN can causes severe type of GBS with slow recovery | *** AMSAN can causes severe type of GBS with slow recovery | ||
** Miller Fisher syndrome<ref name="pmid11320188">{{cite journal |vauthors=Mori M, Kuwabara S, Fukutake T, Yuki N, Hattori T |title=Clinical features and prognosis of Miller Fisher syndrome |journal=Neurology |volume=56 |issue=8 |pages=1104–6 |date=April 2001 |pmid=11320188 |doi= |url=}}</ref> | ** [[Miller Fisher syndrome]]<ref name="pmid11320188">{{cite journal |vauthors=Mori M, Kuwabara S, Fukutake T, Yuki N, Hattori T |title=Clinical features and prognosis of Miller Fisher syndrome |journal=Neurology |volume=56 |issue=8 |pages=1104–6 |date=April 2001 |pmid=11320188 |doi= |url=}}</ref> | ||
*** This type of GBS causes ophthalmoplegia. | *** This type of GBS causes [[ophthalmoplegia]]. | ||
*** The reflexes are absence. | *** The reflexes are absence. | ||
*** There is gait abnormalities (Ataxia). | *** There is gait abnormalities ([[Ataxia]]). | ||
=== Less Common Symptoms === | === Less Common Symptoms === | ||
Less common symptoms of Guillain Barre syndrome include: | Less common symptoms of Guillain Barre syndrome include: | ||
* Symptoms of papilledema such as | * Symptoms of [[papilledema]] such as | ||
** | ** [[Headache]] | ||
** Visual disturbance<ref name="pmid13493684">{{cite journal |vauthors=JOYNT RJ |title=Mechanism of production of papilledema in the Guillain-Barre syndrome |journal=Neurology |volume=8 |issue=1 |pages=8–12 |date=January 1958 |pmid=13493684 |doi= |url=}}</ref> | ** [[Visual disturbance]]<ref name="pmid13493684">{{cite journal |vauthors=JOYNT RJ |title=Mechanism of production of papilledema in the Guillain-Barre syndrome |journal=Neurology |volume=8 |issue=1 |pages=8–12 |date=January 1958 |pmid=13493684 |doi= |url=}}</ref> | ||
* Involuntary facial movement (facial myokymia)<ref name="pmid6681885">{{cite journal |vauthors=Mateer JE, Gutmann L, McComas CF |title=Myokymia in Guillain-Barré syndrome |journal=Neurology |volume=33 |issue=3 |pages=374–6 |date=March 1983 |pmid=6681885 |doi= |url=}}</ref> | * Involuntary facial movement ([[facial myokymia]])<ref name="pmid6681885">{{cite journal |vauthors=Mateer JE, Gutmann L, McComas CF |title=Myokymia in Guillain-Barré syndrome |journal=Neurology |volume=33 |issue=3 |pages=374–6 |date=March 1983 |pmid=6681885 |doi= |url=}}</ref> | ||
* Hearing loss<ref name="pmid3399076">{{cite journal |vauthors=Nelson KR, Gilmore RL, Massey A |title=Acoustic nerve conduction abnormalities in Guillain-Barré syndrome |journal=Neurology |volume=38 |issue=8 |pages=1263–6 |date=August 1988 |pmid=3399076 |doi= |url=}}</ref> | * Hearing loss<ref name="pmid3399076">{{cite journal |vauthors=Nelson KR, Gilmore RL, Massey A |title=Acoustic nerve conduction abnormalities in Guillain-Barré syndrome |journal=Neurology |volume=38 |issue=8 |pages=1263–6 |date=August 1988 |pmid=3399076 |doi= |url=}}</ref> | ||
* Difficulty speaking (vocal cord paralysis)<ref name="pmid8441543">{{cite journal |vauthors=Panosian MS, Quatela VC |title=Guillain-Barré syndrome presenting as acute bilateral vocal cord paralysis |journal=Otolaryngol Head Neck Surg |volume=108 |issue=2 |pages=171–3 |date=February 1993 |pmid=8441543 |doi=10.1177/019459989310800211 |url=}}</ref> | * Difficulty speaking (vocal cord paralysis)<ref name="pmid8441543">{{cite journal |vauthors=Panosian MS, Quatela VC |title=Guillain-Barré syndrome presenting as acute bilateral vocal cord paralysis |journal=Otolaryngol Head Neck Surg |volume=108 |issue=2 |pages=171–3 |date=February 1993 |pmid=8441543 |doi=10.1177/019459989310800211 |url=}}</ref> | ||
Revision as of 15:14, 27 December 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
History and Symptoms
History
- Patients with Guillain Barre syndrome may have a positive history of:
- Prior infection such as:
- Campylobacter jejuni:[1]
- Cytomegalovirus:[2]
- Respiratory infection, mononucleosis and flu-like symptoms.
- Haemophilus influenzae[3]
- Epstein-Barr virus
- Varicella zoster virus[4]
- HIV-1[5]
- Recent vaccination:[6][7]
- Limb tingling and paresthesia
- Lower extremity weakness[8]
- muscle pain[9]
- Prior infection such as:
Common symptoms
Common symptoms of Guillain Barre syndrome include:
- Most of Guillain Barre syndrome cases can be diagnosed based on partially symmetrical ascending weakness and paralysis.
- Can cause sensory symptoms such as tingling and paresthesia.[8]
- Because of nerve inflammation, in the acute phase of GBS patients complain of pain.[9]
- Some of the features may be specific to different subgroups of GBS.
- Acute inflammatory demyelinating polyneuropathy:[10](4)
- It affects lower extremities first and then involves upper extremities, trunk, neck and cranial nerves.
- It can involve sensory neurons.
- Deep sensation is the most affected sense.
- It causes areflexia
- In AIDP we may see autonomic involvement such as changes in heart rate and blood pressure and urinary retention.
- Acute motor axonal neuropathy/Acute motor and sensory axonal neuropathy:[11][12]
- Can causes hyperreflexia.
- Autonomic dysfunction in absent or mild.
- AMSAN can causes severe type of GBS with slow recovery
- Miller Fisher syndrome[13]
- This type of GBS causes ophthalmoplegia.
- The reflexes are absence.
- There is gait abnormalities (Ataxia).
- Acute inflammatory demyelinating polyneuropathy:[10](4)
Less Common Symptoms
Less common symptoms of Guillain Barre syndrome include:
- Symptoms of papilledema such as
- Involuntary facial movement (facial myokymia)[15]
- Hearing loss[16]
- Difficulty speaking (vocal cord paralysis)[17]
- Mental status changes[18]
References
- ↑ Hughes RA, Rees JH (December 1997). "Clinical and epidemiologic features of Guillain-Barré syndrome". J. Infect. Dis. 176 Suppl 2: S92–8. PMID 9396689.
- ↑ Kuwabara S, Ogawara K, Koga M, Mori M, Hattori T, Yuki N (August 1999). "Hyperreflexia in Guillain-Barré syndrome: relation with acute motor axonal neuropathy and anti-GM1 antibody". J. Neurol. Neurosurg. Psychiatry. 67 (2): 180–4. PMC 1736477. PMID 10406985.
- ↑ Mori M, Kuwabara S, Miyake M, Dezawa M, Adachi-Usami E, Kuroki H, Noda M, Hattori T (April 1999). "Haemophilus influenzae has a GM1 ganglioside-like structure and elicits Guillain-Barré syndrome". Neurology. 52 (6): 1282–4. PMID 10214761.
- ↑ Winer JB, Hughes RA, Anderson MJ, Jones DM, Kangro H, Watkins RP (May 1988). "A prospective study of acute idiopathic neuropathy. II. Antecedent events". J. Neurol. Neurosurg. Psychiatry. 51 (5): 613–8. PMC 1033063. PMID 3404161.
- ↑ Berger JR, Difini JA, Swerdloff MA, Ayyar DR (September 1987). "HIV seropositivity in Guillain-Barré syndrome". Ann. Neurol. 22 (3): 393–4. doi:10.1002/ana.410220320. PMID 3674806.
- ↑ Hemachudha T, Griffin DE, Chen WW, Johnson RT (March 1988). "Immunologic studies of rabies vaccination-induced Guillain-Barré syndrome". Neurology. 38 (3): 375–8. PMID 2450302.
- ↑ Safranek TJ, Lawrence DN, Kurland LT, Culver DH, Wiederholt WC, Hayner NS, Osterholm MT, O'Brien P, Hughes JM (May 1991). "Reassessment of the association between Guillain-Barré syndrome and receipt of swine influenza vaccine in 1976-1977: results of a two-state study. Expert Neurology Group". Am. J. Epidemiol. 133 (9): 940–51. PMID 1851395.
- ↑ 8.0 8.1 Mattle, Heinrich (2017). Fundamentals of neurology : an illustrated guide. Stuttgart New York: Thieme. ISBN 9783131364524.
- ↑ 9.0 9.1 Moulin DE, Hagen N, Feasby TE, Amireh R, Hahn A (February 1997). "Pain in Guillain-Barré syndrome". Neurology. 48 (2): 328–31. PMID 9040715.
- ↑ Template:Victor, M., 2001. Diseases of spinal cord peripheral nerve and muscle. Principles of Neurology
- ↑ Kuwabara S, Ogawara K, Koga M, Mori M, Hattori T, Yuki N (August 1999). "Hyperreflexia in Guillain-Barré syndrome: relation with acute motor axonal neuropathy and anti-GM1 antibody". J. Neurol. Neurosurg. Psychiatry. 67 (2): 180–4. PMC 1736477.
- ↑ Kuwabara S, Nakata M, Sung JY, Mori M, Kato N, Hattori T, Koga M, Yuki N (July 2002). "Hyperreflexia in axonal Guillain-Barré syndrome subsequent to Campylobacter jejuni enteritis". J. Neurol. Sci. 199 (1–2): 89–92. PMID 12084449.
- ↑ Mori M, Kuwabara S, Fukutake T, Yuki N, Hattori T (April 2001). "Clinical features and prognosis of Miller Fisher syndrome". Neurology. 56 (8): 1104–6. PMID 11320188.
- ↑ JOYNT RJ (January 1958). "Mechanism of production of papilledema in the Guillain-Barre syndrome". Neurology. 8 (1): 8–12. PMID 13493684.
- ↑ Mateer JE, Gutmann L, McComas CF (March 1983). "Myokymia in Guillain-Barré syndrome". Neurology. 33 (3): 374–6. PMID 6681885.
- ↑ Nelson KR, Gilmore RL, Massey A (August 1988). "Acoustic nerve conduction abnormalities in Guillain-Barré syndrome". Neurology. 38 (8): 1263–6. PMID 3399076.
- ↑ Panosian MS, Quatela VC (February 1993). "Guillain-Barré syndrome presenting as acute bilateral vocal cord paralysis". Otolaryngol Head Neck Surg. 108 (2): 171–3. doi:10.1177/019459989310800211. PMID 8441543.
- ↑ Cochen V, Arnulf I, Demeret S, Neulat ML, Gourlet V, Drouot X, Moutereau S, Derenne JP, Similowski T, Willer JC, Pierrot-Deseiligny C, Bolgert F (November 2005). "Vivid dreams, hallucinations, psychosis and REM sleep in Guillain-Barré syndrome". Brain. 128 (Pt 11): 2535–45. doi:10.1093/brain/awh585. PMID 16000335.