Guillain-Barré syndrome
10.3760/cma.j.cn113694-20230309-00171
- VernacularTitle:吉兰-巴雷综合征
- Author:
Junhong GUO
1
;
Xiaomin PANG
Author Information
1. 山西医科大学第一医院神经内科，太原 030001
- Keywords:
Guillain-Barré syndrome;
Peripheral neuropathy;
Ganglioside;
Protein-cell separation
- From:
Chinese Journal of Neurology
2023;56(8):924-931
- CountryChina
- Language:Chinese
-
Abstract:
Guillain-Barré syndrome (GBS) is a rare, but potentially fatal, immune-mediated disease of the peripheral nerves and nerve roots, which is usually triggered by infections. It is characterized by rapidly progressive, symmetrical weakness of the extremities. Some patients develop respiratory insufficiency and many show signs of autonomic dysfunction. Diagnosis can usually be made on clinical grounds, but lumbar puncture and electrophysiological studies can help to substantiate the diagnosis and to differentiate demyelinating from axonal subtypes of GBS. Molecular mimicry of pathogen-borne antigens, leading to generation of crossreactive antibodies that also target gangliosides, is generally accepted pathogenesis of GBS. The treatment of GBS is intravenous immunoglobulin or plasma exchange with general clinical treatment. Most patients have a good prognosis and basically recover within weeks to months. A few patients have persistent neurological dysfunction or even death.
