Guillain-Barré syndrome history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Priyamvada Singh, MBBS [2]
Overview
History and Symptoms
History
- Patients with Guillain Barre syndrome may have a positive history of:
- Prior infection such as:
- Campylobacter jejuni:
- gastroenteritis
- Cytomegalovirus:
- respiratory infection, mononucleosis and flu-like symptoms.
- Campylobacter jejuni:
- Prior infection such as:
- Haemophilus influenza
- Epstein-Barr virus
- Mononucleosis
- Varicella zoster virus
- Chicken pox
- HIV-1
- Recent vaccination:
- Influenza vaccine
- Rabies vaccine
- Limb tingling and paresthesia
- Lower extremity weakness
- muscle pain
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.[1]
- Because of nerve inflammation, in the acute phase of GBS patients complain of pain.[2]
- Some of the features may be specific to different subgroups of GBS.
- Acute inflammatory demyelinating polyneuropathy:[3](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:[4][5]
- Can causes hyperreflexia.
- Autonomic dysfunction in absent or mild.
- AMSAN can causes severe type of GBS with slow recovery
- Miller Fisher syndrome[6]
- This type of GBS causes ophthalmoplegia.
- The reflexes are absence.
- There is gait abnormalities (Ataxia).
- Acute inflammatory demyelinating polyneuropathy:[3](4)
Less Common Symptoms
Less common symptoms of Guillain Barre syndrome include:
- Papilledema[7]
- Facial myokymia[8]
- Hearing loss[9]
- Vocal cord paralysis[10]
- Mental status changes[11]
References
- ↑ Mattle, Heinrich (2017). Fundamentals of neurology : an illustrated guide. Stuttgart New York: Thieme. ISBN 9783131364524.
- ↑ 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.