What Is GBS?

GBS is short for ‘Guillain-Barrê syndrome’ (pronounced Ghee-lan Bar-ray). It is an acute disease of the peripheral nervous system in which the nerves in the arms and legs become inflamed and stop working. This causes sudden weakness leading to limb paralysis, and a loss of sensation, sometimes with pain.

What is CIDP?

Some patients have a similar but longer-lasting illness called CIDP (chronic inflammatory demyelinating poly[radiculo]neuropathy). CIDP, once known as ‘chronic GBS’, is now usually regarded as a related condition.

Who can get GBS and CIDP?

Anyone: young or old, male or female. The illnesses are neither hereditary nor contagious. GBS affects about l50 people every year in the United Kingdom; the incidence of CIDP is perhaps one tenth that of GBS.

What causes GBS/CIDP?

This is a matter of much research. About sixty percent of patients suffer from a throat or intestinal infection, influenza or stress symptoms in the previous two weeks. These infections trigger an incorrect response in the immune system which attacks the nerves.

What are the symptoms?

First symptoms are usually tingling and numbness in the fingers and toes with progressive weakness in the arms and legs during the next few days. In the mildest of cases, the weakness may arrest and cause only moderate difficulty in walking, requiring sticks, crutches or a walking frame.

In some cases the weakness progresses and leads to complete paralysis of the legs, the arms may also be affected. In a quarter of cases the paralysis progresses up the chest and the patient is unable to breathe on his or her own and needs to rely on a mechanical breathing machine (ventilator). The throat and face may be affected making swallowing impossible and so the patient needs to be fed tube up the nose or directly into the stomach.

For CIDP patients the illness follows a longer course but respiratory failure is highly unlikely.

How are GBS and CIDP diagnosed?

From the history and clinical examination. This is difficult because the symptoms may be confused with those of other conditions.

Two confrmatory tests may be helpful and are performed in most cases:

  1. Lumbar puncture — under a local anaesthetic, a needle is inserted between
    the lower back bones and a small amount of spinal fluid is drawn off for
    analysis and
  2. Elecromyogram (EMG) — an electrical recording of nerve conduction and
    muscle activity.

What is the treatment tor GBS?

GBS improves spontaneously. However certain factors can assist recovery:

  • Good nursing and medical/intensive care.
  • Physiotherapy and hydrotherapy. therapies that relsove discomfort and prevent stiffness.
  • Plasmapheresis – the exchange of blood plasma generally reduces the duration of the disease in severe cases if carried out in the first few days.
  • Immunoglobin – the infusion of immunoglobin proves successful with similar results to plasmapheresis.
  • Counselling to reassure the patient and encourage the patient towards recovery.
[customlis/t] What is the treatment for CIDP? Like GBS, CIDP can improve without treatment. However, recovery may be very slow and the illnesss can either get progressively better or worse, or can follow a relapsing/remitting course. Most patients are given treatment in the forms of plasmapheresis, immunoglobin or corticosteroids Other drugs may be used in difficult cases. Do all patients recover? Most patients (80%) make a total recovery but many spend three months or more in hospital and take a year to recover. Some patients do not recover completely and have residual weakness, numbness and occasional pain. A small number are unable to resume their normal occupation. Modern intensive care makes death from GBS a rare occurrence but is does occur in around 5% of cases, more commonly in the elderly. Death resulting from CIDP is highly unlikely. Uncommonly, GBS returns a second time or may turn into CIDP. What more can be done to help?
  • More research to help doctors diagnose and treat GBS/ClDP.
  • More information for medical personnel and lay people.
  • Improved counselling and support facilities for patients and their families.

Where can I get more Information?

The GBS Support Group publishes a booklet: Guillain-Barre Syndrome a short guide for relatives and friends.

Can I talk to someone about GBS now?
Yes. Call the GBS Helpline on 0800 374 803

Is it possible to arrange a hospital visit by a recovered patient?
Yes. ring the GBS Helpline.

Information Courtesy of
GBS Support Group of the UK
LCC Offices
Eastgate
Sleaford
Lincolnshire
NG34 7EB

Tel/Fax 01529 304615.
Email: admin@gbs.org.uk
Free Helpline 0800 374803

For Further information visit the website
www.gbs.org.uk

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