Diagnosis and Management of Guillain‑Barré Syndrome: A Brief Literature Review

Guillain‑Barré syndrome (GBS) is an acute, immune‑mediated polyradiculoneuropathy characterized by progressive weakness and hyporeflexia. Early diagnosis is vital because the clinical course may rapidly progress to respiratory failure and other severe complications. The pathogenesis involves autoimmune mechanisms triggered by preceding infections, with Campylobacter jejuni being one of the main associated agents. Diagnosis is primarily clinical but supported by ancillary tests, such as nerve‑conduction studies and cerebrospinal‑fluid analysis, which typically demonstrates albuminocytologic dissociation. Management requires intensive supportive care including respiratory and hemodynamic monitoring and disease‑specific therapies, notably plasma exchange and intravenous immunoglobulin, both of which curb disease progression. Multidisciplinary care, especially physiotherapy‑based rehabilitation, is crucial to minimize sequelae. Recent studies explore novel therapeutic approaches, including immunomodulators and biomarkers for improved prognostic stratification. Despite therapeutic advances, GBS still poses clinical challenges, particularly in early recognition and complication prevention. Recovery may be protracted, and some patients experience persistent motor and neuropathic deficits. Prognosis varies according to initial severity and treatment response. Ongoing research into pathophysiology, biomarkers, and new therapeutic strategies is essential to enhance clinical outcomes for patients with GBS.

Authors

Publication Details

Journal
American Journal of Medical and Clinical Research & Reviews
Published
2025-01-01
DOI
https://doi.org/10.58372/2835-6276.1305
Primary Topic
Peripheral Neuropathies and Disorders
Type
article
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article

Diagnosis and Management of Guillain‑Barré Syndrome: A Brief Literature Review

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American Journal of Medical and Clinical Research & Reviews
Peripheral Neuropathies and Disorders
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Diagnosis and Management of Guillain‑Barré Syndrome: A Brief Literature Review

Alberto Rodrigues, Pedro Barros, Maria Clara Costa Calvo, André Cesar Leandro, Chiara Zanini, Leandro Silva Pivato, Sarila Hali Kloster Lopes, Ian Caldeira Ruppen, A. M. S. Mendes, Lara Beatriz Dallaqua Bitiati, Larissa da Rosa Piccoli, Tauane Cano Barreto, Emily Eduarda Hellmann
article en

Abstract

Guillain‑Barré syndrome (GBS) is an acute, immune‑mediated polyradiculoneuropathy characterized by progressive weakness and hyporeflexia. Early diagnosis is vital because the clinical course may rapidly progress to respiratory failure and other severe complications. The pathogenesis involves autoimmune mechanisms triggered by preceding infections, with Campylobacter jejuni being one of the main associated agents. Diagnosis is primarily clinical but supported by ancillary tests, such as nerve‑conduction studies and cerebrospinal‑fluid analysis, which typically demonstrates albuminocytologic dissociation. Management requires intensive supportive care including respiratory and hemodynamic monitoring and disease‑specific therapies, notably plasma exchange and intravenous immunoglobulin, both of which curb disease progression. Multidisciplinary care, especially physiotherapy‑based rehabilitation, is crucial to minimize sequelae. Recent studies explore novel therapeutic approaches, including immunomodulators and biomarkers for improved prognostic stratification. Despite therapeutic advances, GBS still poses clinical challenges, particularly in early recognition and complication prevention. Recovery may be protracted, and some patients experience persistent motor and neuropathic deficits. Prognosis varies according to initial severity and treatment response. Ongoing research into pathophysiology, biomarkers, and new therapeutic strategies is essential to enhance clinical outcomes for patients with GBS.

American Journal of Medical and Clinical Research & ReviewsVol. 04(06)
Openalex Percentile: Top 79%
Peripheral Neuropathies and Disorders
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