What is Guillain-Barré syndrome?

Guillain-Barré syndrome (GBS) is a rare neurological disorder that affects the peripheral nervous system. It occurs when the immune system mistakenly attacks the nerves, leading to muscle weakness and paralysis.

Quick facts about Guillain-Barré syndrome

6,000


GBS is relatively rare. Less than 6,000 people develop GBS each year in the United States

Centers for Disease Control (CDC)

50


GBS is more common in men and people older than 50.

Centers for Disease Control (CDC)

Types of Guillain-Barré syndrome

There are several types of GBS, each with its own specific characteristics. While the core symptoms of weakness, numbness, and tingling are common across all types, GBS can manifest in different ways depending on which part of the nerve is attacked.

Who is affected?

Guillain-Barré syndrome can affect people of all ages, though it’s more common in adults and slightly more prevalent in males. While anyone can be susceptible, those who have recently experienced an infection, such as a respiratory or gastrointestinal illness, may have an increased risk of developing GBS.

Causes and risk factors of Guillain-Barré syndrome

The exact cause of Guillain-Barré Syndrome remains unknown, but it is believed to result from an autoimmune response triggered by infections. The immune system mistakenly attacks peripheral nerves, damaging the myelin sheath and disrupting nerve signals, leading to weakness, numbness, and paralysis.

Common triggers include respiratory or gastrointestinal infections caused by certain bacteria or viruses. In rare cases, GBS has been linked to recent vaccinations, including the flu vaccine, although the risk is extremely low.

Risk factors for GBS include:

  • Prior viral or bacterial infection
  • Recent vaccination
  • Age (more common in adults, especially those over 50)
  • Gender (slightly more common in males)
  • Family history of GBS

Having one or more risk factors does not guarantee the development of GBS. If you or a loved one experiences symptoms of GBS, it is crucial to consult with a healthcare professional for an accurate diagnosis and appropriate treatment.

Diagnosing Guillain-Barré syndrome

If you or a loved one experiences any of these symptoms, seek medical attention immediately. The diagnostic process involves a thorough medical history review, physical examination, and various tests such as:

  • Nerve conduction studies: These tests measure the speed and strength of electrical signals in your nerves.
  • Electromyography (EMG): An EMG measures the electrical activity of your muscles.
  • Lumbar puncture (spinal tap): This procedure involves collecting a sample of cerebrospinal fluid to test for signs of inflammation.
  • Blood tests: Blood tests can help rule out other conditions.

These tests help healthcare professionals determine the presence of nerve damage and rule out other conditions with similar symptoms. Differential diagnosis is crucial to rule out other conditions such as:

  • Chronic inflammatory demyelinating polyneuropathy (CIDP)
  • Botulism
  • Myasthenia gravis
  • Lyme disease
  • Multiple sclerosis

How is Guillain-Barré syndrome treated?

Guillain-Barré syndrome (GBS) treatment focuses on reducing symptoms, preventing complications, and promoting recovery. Key treatments include intravenous immunoglobulin (IVIG) to reduce the immune system’s attack on nerves, plasma exchange (plasmapheresis) to remove harmful antibodies, and medications for pain, inflammation, and other symptoms.

Recovery outcomes vary, with some individuals fully recovering and others experiencing lingering symptoms. Rehabilitation through physical, occupational, and speech therapy is crucial for improving strength, coordination, and mobility. Long-term management includes ongoing monitoring and support, with specialized programs available at Shepherd Center to help individuals regain independence.