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Guillain-Barré Syndrome
Blaise V. Jones, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Abbreviations

            • Guillain-Barré syndrome (GBS)
          • Synonyms

            • Acute inflammatory demyelinating polyradiculoneuropathy (AIDP)
            • Ascending paralysis
          • Definitions

            • Group of disorders characterized by acute development of weakness & diminished reflexes secondary to inflammatory polyradiculopathy
              • Several subtypes exist
                • AIDP
                • Acute motor axonal neuropathy
                • Acute motor sensory axonal neuropathy
                • Miller-Fisher syndrome
            • Primarily clinical diagnosis, with supporting imaging findings

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Nonvascular Interventions

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Fontes CA et al: Magnetic resonance imaging findings in Guillain-Barré syndrome caused by Zika virus infection. Neuroradiology. ePub, 2016
                                          2. Heikema AP et al: Campylobacter jejuni capsular genotypes are related to Guillain-Barré syndrome. Clin Microbiol Infect. 21(9):852.e1-9, 2015
                                          3. Capasso M et al: Involvement of sensory fibres in axonal subtypes of Guillain-Barre syndrome. J Neurol Neurosurg Psychiatry. 82(6):664-70, 2011
                                          4. Orlikowski D et al: Guillain-Barré syndrome following primary cytomegalovirus infection: a prospective cohort study. Clin Infect Dis. 52(7):837-44, 2011
                                          5. Roodbol J et al: Recognizing Guillain-Barre syndrome in preschool children. Neurology. 76(9):807-10, 2011
                                          6. Zuccoli G et al: Redefining the Guillain-Barré spectrum in children: neuroimaging findings of cranial nerve involvement. AJNR Am J Neuroradiol. 32(4):639-42, 2011
                                          7. Buzzigoli SB et al: Plasmapheresis treatment in Guillain-Barré syndrome: potential benefit over intravenous immunoglobulin. Anaesth Intensive Care. 38(2):387-9, 2010
                                          8. Islam Z et al: Axonal variant of Guillain-Barre syndrome associated with Campylobacter infection in Bangladesh. Neurology. 74(7):581-7, 2010
                                          9. Mulkey SB et al: Nerve root enhancement on spinal MRI in pediatric Guillain-Barré syndrome. Pediatr Neurol. 43(4):263-9, 2010
                                          10. Vallat JM et al: Chronic inflammatory demyelinating polyradiculoneuropathy: diagnostic and therapeutic challenges for a treatable condition. Lancet Neurol. 9(4):402-12, 2010
                                          11. van Doorn PA et al: IVIG treatment and prognosis in Guillain-Barré syndrome. J Clin Immunol. 30 Suppl 1:S74-8, 2010
                                          12. Chang YW et al: Spinal MRI of vincristine neuropathy mimicking Guillain-Barré syndrome. Pediatr Radiol. 33(11):791-3, 2003
                                          13. Cheng BC et al: Guillain-Barré syndrome in southern Taiwan: clinical features, prognostic factors and therapeutic outcomes. Eur J Neurol. 10(6):655-62, 2003
                                          14. Haber P et al: Influenza vaccination and Guillain Barré syndrome. Clin Immunol. 109(3):359; author reply 360-1, 2003
                                          15. Duarte J et al: Hypertrophy of multiple cranial nerves and spinal roots in chronic inflammatory demyelinating neuropathy. J Neurol Neurosurg Psychiatry. 67(5):685-7, 1999
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Guillain-Barré syndrome (GBS)
                                                  • Synonyms

                                                    • Acute inflammatory demyelinating polyradiculoneuropathy (AIDP)
                                                    • Ascending paralysis
                                                  • Definitions

                                                    • Group of disorders characterized by acute development of weakness & diminished reflexes secondary to inflammatory polyradiculopathy
                                                      • Several subtypes exist
                                                        • AIDP
                                                        • Acute motor axonal neuropathy
                                                        • Acute motor sensory axonal neuropathy
                                                        • Miller-Fisher syndrome
                                                    • Primarily clinical diagnosis, with supporting imaging findings

                                                  IMAGING

                                                  • General Features

                                                    • CT Findings

                                                      • MR Findings

                                                        • Nonvascular Interventions

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Staging, Grading, & Classification

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Fontes CA et al: Magnetic resonance imaging findings in Guillain-Barré syndrome caused by Zika virus infection. Neuroradiology. ePub, 2016
                                                                                  2. Heikema AP et al: Campylobacter jejuni capsular genotypes are related to Guillain-Barré syndrome. Clin Microbiol Infect. 21(9):852.e1-9, 2015
                                                                                  3. Capasso M et al: Involvement of sensory fibres in axonal subtypes of Guillain-Barre syndrome. J Neurol Neurosurg Psychiatry. 82(6):664-70, 2011
                                                                                  4. Orlikowski D et al: Guillain-Barré syndrome following primary cytomegalovirus infection: a prospective cohort study. Clin Infect Dis. 52(7):837-44, 2011
                                                                                  5. Roodbol J et al: Recognizing Guillain-Barre syndrome in preschool children. Neurology. 76(9):807-10, 2011
                                                                                  6. Zuccoli G et al: Redefining the Guillain-Barré spectrum in children: neuroimaging findings of cranial nerve involvement. AJNR Am J Neuroradiol. 32(4):639-42, 2011
                                                                                  7. Buzzigoli SB et al: Plasmapheresis treatment in Guillain-Barré syndrome: potential benefit over intravenous immunoglobulin. Anaesth Intensive Care. 38(2):387-9, 2010
                                                                                  8. Islam Z et al: Axonal variant of Guillain-Barre syndrome associated with Campylobacter infection in Bangladesh. Neurology. 74(7):581-7, 2010
                                                                                  9. Mulkey SB et al: Nerve root enhancement on spinal MRI in pediatric Guillain-Barré syndrome. Pediatr Neurol. 43(4):263-9, 2010
                                                                                  10. Vallat JM et al: Chronic inflammatory demyelinating polyradiculoneuropathy: diagnostic and therapeutic challenges for a treatable condition. Lancet Neurol. 9(4):402-12, 2010
                                                                                  11. van Doorn PA et al: IVIG treatment and prognosis in Guillain-Barré syndrome. J Clin Immunol. 30 Suppl 1:S74-8, 2010
                                                                                  12. Chang YW et al: Spinal MRI of vincristine neuropathy mimicking Guillain-Barré syndrome. Pediatr Radiol. 33(11):791-3, 2003
                                                                                  13. Cheng BC et al: Guillain-Barré syndrome in southern Taiwan: clinical features, prognostic factors and therapeutic outcomes. Eur J Neurol. 10(6):655-62, 2003
                                                                                  14. Haber P et al: Influenza vaccination and Guillain Barré syndrome. Clin Immunol. 109(3):359; author reply 360-1, 2003
                                                                                  15. Duarte J et al: Hypertrophy of multiple cranial nerves and spinal roots in chronic inflammatory demyelinating neuropathy. J Neurol Neurosurg Psychiatry. 67(5):685-7, 1999