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Case 9 - Guillain–Barré Syndrome (GBS) and Miller–Fisher Syndrome (MFS)

from Peripheral Neuropathies

Published online by Cambridge University Press:  aN Invalid Date NaN

Jessica E. Hoogendijk
Affiliation:
University Medical Center Utrecht
Marianne de Visser
Affiliation:
Amsterdam University Medical Center
Pieter A. van Doorn
Affiliation:
Erasmus MC, University Medical Center, Rotterdam
Erik H. Niks
Affiliation:
Leiden University Medical Center
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Summary

A 20-year-old previously healthy man suddenly noticed that he was unable to run. The next day he could not climb the stairs and lost strength in his arms. He was admitted to hospital, and over the next hours he progressively lost muscle power in his arms and legs. Swallowing was progressively impaired, and he noticed minor tingling in both hands and feet. He had had a minor upper respiratory tract infection a week prior to admission.

Type
Chapter
Information
Neuromuscular Disease
A Case-Based Approach
, pp. 94 - 96
Publisher: Cambridge University Press
Print publication year: 2024

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References

Suggested Reading

Doets, AY, Lingsma, HF, Walgaard, C, et al.; IGOS Consortium. Predicting outcome in Guillain-Barré syndrome: international validation of the modified Erasmus GBS Outcome Score. Neurology 2022;98(5):e518e532. doi: 10.1212/WNL.0000000000013139. Epub 2021 Dec 22. PMID: 34937789; PMCID: PMC8826467.CrossRefGoogle ScholarPubMed
Doets, AY, Walgaard, C, Lingsma, HF, et al.; IGOS Consortium. International validation of the Erasmus Guillain-Barré Syndrome Respiratory Insufficiency Score. Ann Neurol 2022;91(4):521531. doi: 10.1002/ana.26312. Epub 2022 Feb 21. PMID: 35106830; PMCID: PMC9306880.CrossRefGoogle ScholarPubMed
van Doorn, PA, Van den Bergh PYK, Hadden RDM et al. European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain-Barré syndrome. Eur J Neurol. 2023 Dec;30(12):3646–3674. doi: 10.1111/ene.16073. Epub 2023 Oct 10. PMID: 37814552; J Peripher Nerv Syst. 2023 Dec;28(4):535–563. doi: 10.1111/jns.12594. Epub ahead of print 2023 Oct 10 PMID: 37814552CrossRefGoogle Scholar
Leonhard, SE, Mandarakas, MR, Gondim, FAA, et al. Diagnosis and management of Guillain-Barré syndrome in ten steps. Nat Rev Neurol 2019;15(11):671683. doi: 10.1038/s41582-019-0250-9. Epub 2019 Sep 20. PMID: 31541214; PMCID: PMC6821638.CrossRefGoogle ScholarPubMed
Walgaard, C, Jacobs, BC, Lingsma, HF, et al.; Dutch GBS Study Group. Second intravenous immunoglobulin dose in patients with Guillain-Barré syndrome with poor prognosis (SID-GBS): a double-blind, randomised, placebo-controlled trial. Lancet Neurol 2021;20(4):275283. doi: 10.1016/S1474-4422(20)30494-4. Epub 2021 Mar 17. PMID: 33743237.CrossRefGoogle ScholarPubMed
Walgaard, C, Lingsma, HF, Ruts, L, et al. Early recognition of poor prognosis in Guillain-Barré syndrome. Neurology 2011;76(11):968975. doi: 10.1212/WNL.0b013e3182104407. PMID: 21403108; PMCID: PMC3059137.Google ScholarPubMed
Willison, HJ, Jacobs, BC, van Doorn, PA. Guillain-Barré syndrome. Lancet. 2016 Aug 13;388(10045):717727. doi: 10.1016/S0140-6736(16)00339-1. Epub 2016 Mar 2. PMID: 26948435.CrossRefGoogle ScholarPubMed

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