81. Guillain Barre Syndrome Foundation Discussion Forums Guillain Barre syndrome Foundation Discussion Forums is a discussionforum for patients of GuillainBarré and their families. http://www.guillain-barre.com/forums/

Jump To Chatroom View Chat Schedule Guillain Barre Syndrome Foundation Discussion Forums Registered Members: threads in total posts in total Welcome to our newest member, You last visited: 03-31-2003 03:42 AM. The time now is 03:42 AM. Today's Birthdays: Unique Blondie jargor View Today's Active Threads Welcome to the Guillain Barre Syndrome Foundation Discussion Forums. If this is your first visit, be sure to check out the FAQ by clicking the link above. You may have to register before you can post: click the register link above to proceed. To start viewing messages, select the forum that you want to visit from the selection below. Forum Posts Threads Last Post Main News and Announcements Current news and information about the forums, the Foundation and the GBS community. 01:25 AM by Eileen GBS - Adult 03:39 AM by Nancy GBS - Child 04:05 AM by danTerpstra CIP/CIDP 02:00 AM by ericvance CIP - Child 04:20 PM by kltrem Vaccine Reactions 06:24 PM by Jackie G Miller Fisher Variants 11:19 PM by ycart Expectant Mothers Questions and issues related to pregnancy 08:28 PM by Diana D Family, Friends and Caregivers

82. DHSS, Guillain-Barre' Syndrome, (GBS) Surveillance Case Definition. guillainbarre' syndrome, (GBS) (Infectious or AcuteIdiopathic Polyneuropathy). What should I know about guillain-barre' syndrome? http://www.state.nj.us/health/cd/cd_gbs.htm

Disease Index NJ InTouch Surveillance Case Definition Guillain-Barre' Syndrome, (GBS) (Infectious or Acute Idiopathic Polyneuropathy) CLINICAL DESCRIPTION An acute, usually rapidly progressive form of polyneuropathy characterized by muscular weakness and mild distal sensory loss that about half the time begins 5 days to 3 weeks after a banal infectious disorder, surgery or an immunization. NOTE: GBS is sometimes linked to prior Campylobacter jejuni infection. CASE CLASSIFICATION CONFIRMED A clinically diagnosed case supported by: Electrophysiologic studies showing nerve conduction slowing with features of demyelination and/or axonal damage, AND CSF with elevated protein after 1 week of symptoms, and fewer than 50WBC/microliter, AND Normal CBC and erythrocyte sedimentation Rate (ESR) in most patients. PROBABLE A clinically diagnosed case not supported by electrophysiological studies. POSSIBLE Not used. What should I know about Guillain-Barre' Syndrome? Disease Index NJ InTouch Last Updated:

83. Guillain-Barre' Syndrome guillainbarre' syndrome. Guillain-Barré syndrome usually occurs within days ofan upper respiratory infection or stomach illness with cramps or diarrhea. http://www.neuro-web.com/gbs.htm

84. GUILLAIN BARRE SYNDROME GUILLAIN BARRE syndrome (GBS). This is the appearance of normal myelin by electron microscopy using the "freezefracture" http://www.idiom.com/~drjohn/gbs.html

GUILLAIN BARRE SYNDROME (GBS) This is the appearance of normal myelin by electron microscopy using the "freeze-fracture" technique. Note the beautifully delineated layers or lamellae. GBS, also called Acute Post Infective Polyneuritis, is one of the feared complications of vaccinations such as Swine Flu and Pertussis. More often it follows a viral syndrome by a week or two. It is an allergic type reaction wherein antibodies are created by lymphocytes which mistakenly attack the host's peripheral (not central - that is a distinct but analagous disease called Acute Disseminated Encephalomyelitis - the myelin is different in the CNS versus the PNS, made by oligendrocytes centrally, Schwann cells peripherally) myelin. These are microscopic views of peripheral nerves showing lymphocytic infiltration on the LEFT and fragmentation of myelin on the RIGHT. Guillain Barre may be difficult to diagnose at first. The victim is often young and healthy, complains of tingling in the extremities easily blamed on the high anxiety which is invariably present. The anxiety results from the victim's awareness of progressive paralysis. Doctors are sometimes taught that it begins peripherally and spreads proximally, i.e. from the tips of the feet up the legs but this is simply untrue: GBS often begins in hip flexor or shoulder girdle muscles with subtle impairments of function such as going up or downstairs or raising the arms overhead. Difficult to confirm on individual muscle testing.

85. Guillain-Barré Syndrome MEDSTUDENTS-NEUROLOGY Guillain_Barre syndrome A review giving most importance on its etiology, clinical manifestations, diagnosis and treatment. GuillainBarré syndrome. Guillain-Barré syndrome (GBS) is a common disease of uncertain cause involving the peripheral http://www.medstudents.com.br/neuro/neuro1.htm

NEUROLOGY CARLOS EDUARDO REIS Medstudents' Homepage Campylobacter jejuni infection, hepatitis, infectious mononucleosis, Mycoplasma pneumoniae , vaccination, surgery, lymphoma, or SLE. Which leads the conclusion that it is almost certainly an immune-mediated disorder. GBS during many years was synonymous with acute inflammatory demyelinating polyneuropathy, because initially the pathologic substrate of many cases was shown to be lymphocytic infiltration of the spinal roots and peripheral nerves, with macrophage-mediated demyelination and secondary axonal degeneration. In the other hand, it is known now that a large proportion of cases in the developing world and a small proportion of cases in North America and Europe are Characterized by noninflammatory acute axonal degeneration. Clinical Manifestation Classically, the disease presents with symmetric leg weakness that spreads to involve other regions of the body in an ascending manner, finally involving the cranial nerves and impeding respiratory function( 25% of the cases ) within 1-3 days from onset of symptoms. The weakness does not ascend in all cases, however. Relatively minor sensory signs and symptoms occur; however, the patient may complain of painful extremities subjective and objective sensory disturbances are common initially, most commonly occurring in a distal( stocking-glove) distribution.

86. Guillain Barre' Syndrome Guillain Barre' syndrome (GBS) is a rare and mysterious disorder of the peripheral nerves. Here is an informative article describing the illness, and links to other useful web sites. Guillain Barre' syndrome. (Acute Idiopathic Polyneuritis). GuillainBarré (Ghee-yaw Bah-ray) syndrome, also called http://www.angelfire.com/home/gbs

G uillain B arre' S yndrome (Acute Idiopathic Polyneuritis) Guillain-Barré (Ghee-yaw Bah-ray) Syndrome, also called acute inflammatory demyelinating polyneuropathy and Landry's ascending paralysis, is a disorder of the peripheral nerves, those outside the brain and spinal cord. It is typically characterized by the rapid onset of muscle weakness and often, paralysis of the legs, arms and breathing muscles. The cause of Guillain-Barre' syndrome is not known; and why the disorder only occurs in certain patients is still not known. Research to date indicates that the nerves of the GBS patient are attacked by the body's own defense system against disease-antibodies and white blood cells. As a result of this autoimmune attack, the nerve insulation (myelin) and sometimes even the covered conducting part of the nerve (axon) is damaged. The rapid onset of (ascending) weakness, frequently accompanied by abnormal sensations and pain that affect both sides of the body similarly, is a common presenting picture, and quite often, the patient's symptoms and physical exam are sufficient to indicate the diagnosis. The severity of Guillain-Barre' syndrome can vary greatly. In its milder form, it may cause a waddling or ducklike gait, and perhaps some tingling and upper limb weakness that may briefly, for days or weeks, impair a patients lifestyle. Some primary care physicians have described patients who complained of mild brief tingling and/or limb weakness accompanying or following a viral illness, such as a sore throat or diarrhea. Such a set of symptoms may represent a very mild form of GBS. In contrast to such mild forms, at the other extreme a GBS patient may become almost totally paralyzed and fraught with complications.

87. GBS deficiency. Classic GuillainBarré syndrome. Guillain-Barré-like syndromewith serum IgM binding to GalNAc-GD1a ganglioside 2. Epidemiology http://www.neuro.wustl.edu/neuromuscular/antibody/gbs.htm

Front Search Index Links ... Patient Info Acute Immune Polyneuropathies "Classic" Guillain-Barré Syndrome Associated disorders Childhood GBS Clinical features ... Miller Fisher Syndrome Variants: IgM vs GalNAc-GD1a Bulbar General topics Classification: Acute immune neuropathies Differential diagnosis: Acute neuromuscular disorders General Principles: Acute immune neuropathies Treatment of GBS-like syndromes ... Antibodies Guillain Also see: GBS history Classification of Acute Immune Neuropathies Motor + Sensory CIDP with acute onset: More prominent demyelination on NCV Motor Axonal Motor + Sensory (AMSAN) GBS-like syndrome Vasculitis Motor : Associated with Prodromal infection: Campylobacter jejuni Haemophilus influenzae Serum antibodies: IgG vs GM1 or GalNAc-GD1a ganglioside Sensory Autonomic Cranial Nerve Syndromes: Associated with Campylobacter jejuni prodrome Serum IgG vs GQ1b ganglioside Miller-Fisher Bickerstaff's Brainstem encephalitis Other GBS variants with autoantibodies IgM vs GM2 gangliosides IgM vs GalNAc-GD1a ganglioside Acute immune neuropathies: General principles Acute immune neuropathies have several features in common as well as those that vary and are distinctive for a particular syndrome. Some features suggest a

88. Guillain Barre Syndrome Menu Guillain Barre syndrome Menu. This is a webforum to discuss and comment on GuillainBarre syndrome. Guillain Barre syndrome Basics? (8/5/99) 901 AM; CIDP ALT. http://neuro-www.mgh.harvard.edu/forum/GuillainBarreSyndromeMenu.html

Guillain Barre Syndrome Menu This is a webforum to discuss and comment on Guillain Barre Syndrome. Click here to Enter a new Neurology WebForum article... This Web Forum is not moderated in any sense. Anyone on the Internet can post articles or reply to previously posted articles, and they may do so anonymously. Therefore, the opinions and statements made in all articles and replies do not represent the official opinions of MGH and MGH Neurology. Neither is MGH or MGH Neurology responsible for the content of any articles or replies. No messages are screened for content. - Very Important Message! - Please Click Here to Read Current Posts: Oct 10, 1997 to Present Useful Websites can be found and posted here! (1/14/00) 11:28 AM GBS and Foot Neuropathy (1/12/00) 7:49 PM (1/6/00) 1:53 PM ... Symptoms there tests rule negative (10/14/97) 4:45 PM IMPORTANT: If this page seems to be missing recently added documents, click the "Reload Page" button on your Web Browser to update the menu. Return to the main Neurology WebForum Page. These forums are maintained by the Department of Neurology at Massachusetts General Hospital John Lester - Webspinner

89. Guillain Barre Syndrome Overview. Rapidly progressive weakness 30% has no history of recentinfection Proximal muscle weakness may be pronounced Cranial http://neuroland.com/nm/guillain.htm

Neuroland Neurology information Click on the brain to index page Search NeuroLand Neuro disease Notes ... Neuro Med Overview Rapidly progressive weakness 30% has no history of recent infection Proximal muscle weakness may be pronounced Cranial nerves, especially facial nerve may be involved Reflexes absent or hypoactive May have sensory symptoms, but objective sensory loss minimal CSF protein elevated without pleocytosis lympocytes usually less than 20 Monitor for Respiratory infection Deep vein thrombosis Urinary tract infection Fecal impaction Autonomic dysfunction Use extreme caution with antihypertensive medications Differential diagnosis Arsenic exposure Periodic paralysis Collagen vascular disease Tick paralysis AIDS, CMV polyradiculoneuropathy Botulism - review - Ann of IM Acute porphyria Treatment options for GBS Treatment Dose Notes Human Immunoglobulin 0.4g / kg iv qd x 5 days (total dose 2g). Start with slow infusion rate, increase rate of infusion as tolerated Side effects: headache, renal failure

90. Nervous System Disorders - Guillain Barre Syndrome - Methodist Health Care Syste GuillainBarré syndrome What is Guillain-Barré syndrome? Guillain-Barré weakest.What are symptoms of Guillain-Barré syndrome? The http://www.methodisthealth.com/health/nervsystem/guillain.htm

Nervous System Disorders Home Page Los Trastornos del Sistema Nervioso (en español) Clinical Services The Methodist Hospital Neurology Service The Methodist Hospital Neurosurgery Center ... Diagnostic Tests Nervous System Disorders: Acute Spinal Cord Injury Alzheimer's Disease Amyotrophic Lateral Sclerosis (ALS) Bell's Palsy ... Appointment Guillain-Barré Syndrome What is Guillain-Barré syndrome? Guillain-Barré syndrome is a neurological disorder in which the body's immune system attacks part of the peripheral nervous system. It is a devastating disorder because of its sudden and unexpected onset. The disorder can develop over the course of hours or days, or it may take up to three to four weeks. The stage of greatest weakness is usually within the first two weeks after symptoms appear, and by the third week of the illness 90 percent of all patients are at their weakest. What are symptoms of Guillain-Barré syndrome?

91. Guillain Barre Syndrome Thu06-Feb 847 AM - - - - - Welcome to Burke! Guillain Barre syndrome Candidatesfor Admission Cardiac. Guillain Barre syndrome. Multiple Sclerosis. http://www.burke.org/medservices/guillain.cfm

Sun-30-Mar 10:42 PM Welcome to Burke! Guillain Barre Syndrome Candidates for Admission: Medical Services Amputee Brain Injury Cardiac Guillain Barre Syndrome Multiple Sclerosis Outpatient Services Parkinson's ... Home l Choosing Rehab Care l About Burke l Medical Services Research l Education Facilities Contact Us Referral Procedure Home Health Program var MenuLinkedBy='dbn', awmBN='456'; awmAltUrl='http://www.burke.org/old_browser.html';

92. Guillain Barre Syndrome - Keep Kids Healthy Conditions A discussion of the Guillain Barre syndrome, which can cause muscle weaknessand loss of reflexes, and its treatment. Guillain Barre syndrome. http://www.keepkidshealthy.com/welcome/conditions/guillainbarre.html

Bookstore Site Map Contact Us Help ... Free Web Pages! Search this site: Advanced Search Free Newsletters Main Menu Useful Tools Index of Topics Pediatric Problems New! Parenting Tips Symptom Guide Nutrition Immunizations ... Web Links Online Resources What's New Reviews New! Growth Charts Online Forums Vaccine Schedule Baby Names Guide ... Height Calculator Newsletters: Subscribe to get free news, tips and updates. Recommend Us tell a friend about us or email this page to a friend Main Diseases and Conditions Guillain Barre Syndrome Guillain Barre Syndrome (GBS) is a disorder that affects the peripheral nervous system (the part of the nervous system outside of the brain and spinal cord). It is the most common cause of acute generalized paralysis and there are about 0.4 to 1.7 cases per 100,000 people each year. It is not known what causes Guillain Barre Syndrome, but it is thought to be mediated by the immune system. The main symptoms of Guillain Barre Syndrome are muscle weakness and a loss of reflexes ( areflexia ), which usually begin about 10 days after a viral infection, such as an upper respiratory tract infection or gastroenteritis. The weakness is

93. Guillain Barre Syndrome GUILLAIN BARRE syndrome. WHAT IS GUILLAIN BARRE syndrome? Guillain Barre syndrome recovery.WHAT CAUSES GUILLAIN BARRE syndrome? Current evidence http://www.neurobc.com/conditions/GBS.htm

MEMBER LOGON FEEDBACK SEARCH HOME general info about us patient info neurological tests BC specialty clinics neurology faq studies underway feedback support groups find a neurologist neuro conditions professional web research subspecialty links free screensavers clinical cases neurological quotes protocols on the web practice opportunities BC happenings PDA files BC/Can www links Information Sheets See Conditions Bell's Palsy Brain Tumors - Metastatic Brain Tumors - Primary Neural Carpal Tunnel Syndrome ... Tourette's Syndrome GUILLAIN BARRE SYNDROME WHAT IS GUILLAIN BARRE SYNDROME? Guillain Barre syndrome (GBS) is an acute disorder of the peripheral nerves, and in particular the nerves which supply the muscles, leading to progressive weakness and paralysis including the muscles of the arms and legs, as well as sometimes the respiratory and swallowing muscles. It may be accompanied by some instability and "autonomic" control of things such as blood pressure and heart rate. Some unusual variants of the syndrome can also cause incoordination and double vision (Miller-Fisher variant, sensory and ataxic variants). The condition is monophasic, that is it occurs as an acute condition that worsens and then improves. Although serious and potentially fatal, with the availability of modern intensive care facilities, mortality rate has fallen and most patients make a complete functional recovery.

94. Guillain Barre Syndrome Articles, Support Groups, And Resources Guillain Barre syndrome articles, support groups, and resources for patientsfrom Med Help International (www.medhelp.org). Guillain Barre syndrome. http://www.medhelp.org/HealthTopics/Guillain_Barre_Syndrome.html

[Health Topics A-Z] A B C D ... Z Guillain Barre Syndrome Ask The Doctor Forums Acute Transverse Myelitis or GBS? (Neurology and Neurosurgery Forum) Acute Vs Chronic GBS (Neurology and Neurosurgery Forum) Axonal type (Neurology and Neurosurgery Forum) Can you help me ? (Neurology and Neurosurgery Forum) ... [Patient Network] Revised: 3/30/2003

95. Archives Of Guillain Barre Syndrome Patient Questions At Med Help International Collection of patient medical questions and answers about guillain barre syndrome,which are replied to by online doctors from leading medical institutions. http://www.medhelp.org/forums/Neuro/archive/Guillain_Barre_Syndrome.html

The Archive of Guillain Barre Syndrome Questions from The Neurology and Neurosurgery Forum at Med Help International Listed below are our archive of questions and answers for the medical topic: Guillain Barre Syndrome. Please feel free to browse our guillain barre syndrome archive below, or search our site for additional information about guillain barre syndrome. What is a rare sensory form of Guillian Barre Syndrome? -(Reply by: CCF Neuro[P]-M.D.-RPS on 3/5/2001 ) recovery from GBS -(Reply by: CCF Neuro[P] MD, RPS on 11/23/2000 ) Can you help me ? -(Reply by: CCF Neuro[P] MD, RPS on 7/3/2000 ) corrective eye surgery/lens -(Reply by: CCF Neuro[P] MD, RPS on 7/3/2000 ) Miller Fisher Variant -(Reply by: CCF Neuro[P] MD, RPS on 6/29/2000 ) Axonal type -(Reply by: CCF Neuro[P] MD, RPS on 6/21/2000 ) Lingering symptoms to a TD vaccine -(Reply by: CCF Neuro[P] MD, RPS on 1/7/2000 ) epidural after gbs -(Reply by: CCF Neuro[P] MD, RPS on 12/24/1999 ) Re: Re: Re: need info please -(Posted by CCF Neuro[P] MD, RPS on August 05, 1999) Re: need info please -(Posted by CCF Neuro[P] MD, RPS on August 01, 1999)

96. Diseases And Conditions -- Discovery Health -- Guillain-Barré Syndrome GuillainBarré syndrome By James Broomfield, MD. Guillain condition? Mostcases of Guillain-Barré syndrome are triggered by an infection. http://health.discovery.com/diseasesandcond/encyclopedia/666.html

By James Broomfield, MD autoimmune disorder in which the body creates antibodies against its own tissue. In people with GBS, the antibodies generally attack the myelin sheath, or lining of the nerves. They may also attack part of the nerves themselves. What is going on in the body? autoimmune disorder that is triggered by an infection, vaccination, or other factors. It causes a severe inflammatory reaction around the nerves. The myelin sheath becomes swollen. Impulses and messages cannot travel along the course of the nerve. In time, nerve impulses are blocked. What are the signs and symptoms of the condition? People with GBS usually have muscle weakness or paralysis that starts in the legs and feet. It progresses up toward the arms and head. Sometimes the weakness starts in the arms and moves downward. Occasionally, it starts in the arms and legs at the same time. The spread from feet to head can occur within 24 to 72 hours but can take longer. Muscle weakness can lead to the following symptoms: blurred vision constipation difficulty breathing difficulty swallowing and chewing difficulty urinating or even starting to urinate dizziness fainting loss of bowel and/or bladder control muscle pain and contractions numbness and decreased sensation painful or tingling sensations in the arms and legs palpitations , or an unusual awareness of the heart beating in the chest uncoordinated movements What are the causes and risks of the condition?

97. Guillain Barre Syndrome Guillain Barre syndrome linked to vaccination? What is Guillain Barre syndrome? RelevantLinks Guillain Barre syndrome Foundation International. References http://www.micro.unsw.edu.au/MICR3051 2001/Duckworth, Bonser, Lysaght/Guillain.h

Guillain Barre Syndrome - linked to vaccination? What is Guillain Barre Syndrome? Guillain Barre Syndrome (GBS) involves a heterogeneous group of pathological and clinical neurological manifestations. It causes weakness or paralysis of the limbs and is believed to be an autoimmune disease. This syndrome can occur in any age group, though occurrence peaks within young adults and the elderly. Males appear to be affected more commonly, though there are no consistent geographical variations in occurrence Clinical features of GBS Common manifestations of GBS involve limb weakness, facial palsy and pain. Pain is the most common symptom and is experienced in around 90% of cases. This pain if often quite severe. Facial palsy is the most common type of cranial nerve involvement. Clinical recovery takes between six and seven months from the onset of symptoms, though treatment is often required. Facial Palsy Image from: www.labodia.com Treatment of GBS Since 1978, it has been established that plasma exchange beginning within the first two weeks of illness reduces the period of hospital stay, the duration of mechanical ventilation and the time to reach ambulation . The complications involved with plasma exchange include hypotension, septicaemia, hypocalcaemia and abdominal clotting. Another method of treatment of GBS is intravenous immunoglobulin, which is a preferable treatment as it is more convenient, equally effective and of comparable overall cost. Intravenous immunoglobulin has been found to accelerate recovery in children with GBS who are unable to walk

98. Medicine Online Medical Reference, Cosmetic Plastic Surgery, Bid For Rx, Medicat Audiology Nutrition Optometry Occupational Therapy Physician's Assistants More Diseases and Conditions Miscellaneous - Guillain- Barre syndrome. http://www.medicineonline.com/Default.asp?SubSubCatID=233&Main=1

99. Guillain Barre Syndrome (GBS), Neuromuscular Paralysis, Respiratory Failure, Ven We Can't Kill Your Mother and Other Stories of Intensive Care by LawrenceMartin, MD Table of Contents. 20. Mommy, why don't you hug me? . http://www.mtsinai.org/pulmonary/books/icu/gbs.html

"We Can't Kill Your Mother" and Other Stories of Intensive Care by Lawrence Martin, M.D. Table of Contents 20. "Mommy, why don't you hug me?" NOTE: "We Can't Kill Your Mother" and Other Stories of Intensive Care can be downloaded in its entirety as an e-book from 1st Books Library ($4.95). The book can also be ordered in trade paperback format for $13.50. For purchasing the e-book or print versions, please go to 1st Books Library and enter part of the book's title or the author in their search engine. Below are the first few paragraphs of "MOMMY, WHY DON'T YOU HUG ME?" Thirty-five-year-old Naomi Benedict was sitting in a chair at home, recovering from the flu, when she felt a sudden tingling in both legs. She stood up to stretch, lost her balance and promptly fell to the floor. The maid ran in from the kitchen. What was wrong? Mrs. Benedict said the only problem was her legs, they felt weak and tingly as if their circulation was cut off. Otherwise she felt fine. The maid helped her stand up, then climb the stairs to the bedroom and get into bed. It was two in the afternoon on Tuesday, March 7. Mr. Benedict, an attorney, was at work and their two young children were in school. At three o'clock she was to attend the city's Arts Council meeting, her first time out in a week. Instead of getting dressed she lay in bed, unsure what to do.

100. Home Page Of The Guillain-Barré Syndrome Of New South Wales http://www.ozemail.com.au/~guillain/

Phone: Overseas Callers PO Box EPPING NSW 1710 AUSTRALIA email: guillain@iprimus.com.au Web Site Sponsors Woolworths Limited who very generously donated computer equipment and photocopying of 'RECOVERY' the newsletter of the GBS Association of NSW Web Site Index Meeting Dates can be found in INFORMATION UPDATE SECTION About the Association Australian Chapters Books Available Case Histories ... Syndrome - A GP's guide You are visitor since April 17, 1997 Bookmark this site so you can return when you wish

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