scholarly journals PROBLEM BASED PHYSIOTHERAPY INTERVENTION PROGRAM IN MANAGING CHEST AND MOBILITY ISSUES IN AN ACUTE CASE OF GUILLAIN BARRE SYNDROME

2021 ◽  
Vol 10 (4) ◽  
pp. 3218-3220
Author(s):  
Rakesh Krishna Kovela
Keyword(s):  
Intervention Program ◽  
Primary Objective ◽  
Guillain Barre Syndrome ◽  
Acute Case ◽  
Functional Activities ◽  
Physiotherapy Intervention ◽  
Guillain Barré Syndrome ◽  
Life Threatening ◽  
History Of ◽  
Guillain Barré

Guillain - Barré syndrome (GBS) is a rare neurological condition described as demyelination of the peripheral nervous system (PNS) as a result of an immune system attack. In about 70 percent of patients, it is characterized by acute paralysis, and when the respiratory system is involved, it could become more life threatening for the patient. A further complication due to peripheral nerve demyelination greatly decreases the functional capacity of the patient to perform everyday activities. The present case report is of a 58-year-old male admitted into the hospital with history of weakness and impaired motor skills. Physiotherapy intervention primarily focussed on strength and functional activities. The primary objective of this case study was to determine the reaction of the patient to physiotherapy for reinforcement and functional tasks. In terms of strength and also functional tasks, we would like to conclude that the patient's response in the initial stages of recovery was profoundly sound.

Guillain-Barré syndrome in patients with a recent history of Zika in Cúcuta, Colombia: A descriptive case series of 19 patients from December 2015 to March 2016

2017 ◽  
Vol 37 ◽  
pp. 19-23 ◽  
Author(s):  
Arturo Arias ◽  
Lilian Torres-Tobar ◽  
Gualberto Hernández ◽  
Deyanira Paipilla ◽  
Eduardo Palacios ◽  
...  
Keyword(s):  
Case Series ◽  
Guillain Barre Syndrome ◽  
Recent History ◽  
Guillain Barré Syndrome ◽  
History Of ◽  
Guillain Barré

Guillain-Barré Syndrome and Chronic Inflammatory Demyelinating Polyradiculoneuropathy in Pregnancy

2018 ◽  
Author(s):  
Pariwat Thaisetthawatkul ◽  
Eric Logigian
Keyword(s):  
Fetal Outcome ◽  
Chronic Inflammatory Demyelinating Polyradiculoneuropathy ◽  
Guillain Barre Syndrome ◽  
Progressive Muscle Weakness ◽  
Immune Mediated ◽  
Guillain Barré Syndrome ◽  
Viral Illness ◽  
Life Threatening ◽  
Depolarizing Agents ◽  
Guillain Barré

Guillain-Barré syndrome (GBS) and chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) are both immune-mediated diseases of the peripheral nervous system that typically present with symmetric, progressive muscle weakness, areflexia, and sensory symptoms or signs. GBS evolves rapidly with a nadir at 2–4 weeks usually with an antecedent viral illness, while CIDP progresses more slowly over months to years. GBS is sometimes complicated by life-threatening respiratory failure or dysautonomia. Onset of GBS and relapse of CIDP can occur during pregnancy or postpartum. But with appropriate supportive care and immunotherapy, maternal and fetal outcome in both conditions is typically excellent. The exception is fetal outcome in GBS triggered by maternal CMV or Zika infection transmitted to the fetus. Full-term vaginal delivery and regional anesthesia are preferred in maternal GBS and CIDP, but if C-section and general anesthesia are indicated, non-depolarizing agents such as succinylcholine should be avoided.

scholarly journals Dysautonomia and hyponatraemia as harbingers of Guillain-Barre syndrome

2019 ◽  
Vol 12 (4) ◽  
pp. e226925 ◽  
Author(s):  
Preet Mukesh Shah ◽  
Vijay Waman Dhakre ◽  
Ramya Veerasuri ◽  
Anand Bhabhor
Keyword(s):  
Blood Pressure ◽  
Secondary Hypertension ◽  
Guillain Barre Syndrome ◽  
Rare Presentation ◽  
Normal Ranges ◽  
Guillain Barré Syndrome ◽  
History Of ◽  
Autonomic Disturbances ◽  
Guillain Barré ◽  
Time Of Presentation

A 56-year-old woman with a medical history of hypertension presented to our hospital with back pain, abdominal pain, vomiting and elevated blood pressure. The laboratory parameters including evaluation for secondary hypertension were within normal ranges at the time of presentation. During her hospitalisation, fluctuations in her blood pressure and pulse were observed which were attributed to autonomic disturbances, the cause of which was unknown. On the seventh day after presentation to the hospital, the patient developed focal seizures and slurred speech which was believed to be secondary to hyponatraemia detected at that time. Hyponatraemia improved with hypertonic saline and she experienced no further seizures. On the eighth day of her admission, she developed acute flaccid paralysis of all her limbs and respiratory distress. We concluded this to be secondary to Guillain-Barre syndrome (GBS). She responded to plasmapheresis.The presence of dysautonomia and hyponatraemia before the onset of paralysis makes this a rare presentation of GBS.

A 15-Year Nationwide Epidemiological Analysis of Guillain-Barré Syndrome in Taiwan

2015 ◽  
Vol 44 (4) ◽  
pp. 249-254 ◽  
Author(s):  
Wan-Chun Huang ◽  
Chin-Li Lu ◽  
Solomon Chih-Cheng Chen
Keyword(s):  
Large Scale ◽  
Guillain Barre Syndrome ◽  
Accurate Estimation ◽  
Research Database ◽  
Crude Incidence ◽  
Female Rate ◽  
Guillain Barré Syndrome ◽  
Life Threatening ◽  
Guillain Barré ◽  
Male To Female

Background: Guillain-Barré syndrome (GBS) is a potentially life-threatening disease that typically occurs after a preceding infectious disease. An accurate estimation of GBS incidence would be useful for investigating the potential causal relationships between risk factors and GBS. Here we described the nationwide incidence of GBS in Taiwan. Methods: The cases of GBS were obtained from all admission records of the National Health Insurance Research Database. We identified all of the first-admitted GBS patients by a code of ICD-9-CM 357.0 presented at the discharge diagnoses in admission records between 1997 and 2011. Calendar year, age, and sex-specific incidence, and seasonal variation were estimated. Results: A total of 5,998 patients were identified. The male-to-female rate ratio was 1.54. The crude incidence rate was 1.65 per 100,000 person-years. The incidence of GBS was lowest in people aged less than 20 and increased with age, especially in people older than 50 years. In spring, the incidence was 10% higher than in other seasons. Conclusions: The overall incidence is in line with previous large-scale studies. A significant higher rate in spring is also shown. The potential reasons for the seasonality and higher incidence among older patients should be further investigated.

scholarly journals Post-treatment Guillain-Barre Syndrome in a Patient with Brucellosis; A Case Report

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Navid Manouchheri ◽  
Omid Mirmosayyeb ◽  
Majid Ghasemi ◽  
Shervin Badihian ◽  
Vahid Shaygannejad ◽  
...  
Keyword(s):  
Case Report ◽  
Antimicrobial Treatment ◽  
Lower Limbs ◽  
Guillain Barre Syndrome ◽  
Case Presentation ◽  
Brucella Infection ◽  
Guillain Barré Syndrome ◽  
History Of ◽  
Guillain Barré ◽  
Uncommon Complication

Introduction: Guillain-Barre Syndrome is an uncommon complication during acute brucellosis. Case presentation: In this study, we present a case of Guillain-Barre Syndrome in a 22-year old male patient with complaints of weakness in his lower limbs. He had a history of acute Brucella infection for four months and received antimicrobial medication. Conclusion: the patients can be affected by GBS after antimicrobial treatment.

scholarly journals Guillain Barre Syndrome pada Kehamilan

2020 ◽  
Vol 9 (2) ◽  
pp. 256
Author(s):  
Hermin Sabaruddin ◽  
Pribakti Budinurdjaja ◽  
Fakhrurrazy Fakhrurrazy
Keyword(s):  
Physical Examination ◽  
First Trimester ◽  
Clinical Syndrome ◽  
Guillain Barre Syndrome ◽  
High Morbidity ◽  
Autoimmune Reaction ◽  
Guillain Barré Syndrome ◽  
History Of ◽  
Guillain Barré ◽  
In Pregnancy

Guillain-Barre Syndrome (GBS) is a clinical syndrome characterized by the presence of the complete flaksid that occurs in acute. GBS associated with autoimmune reaction that affect peripheral nerve, radix, and cranial nerve. The incidence of GBS is 1 – 2 per 100,000 people/year. The incident was followed by increased age and the increasing population of obstetrics. GBS in pregnancy ranged from 13% in the first trimester, 47% in the second trimester, and 40% in the third trimester. In this case report reported Mrs. M 27 years old with a diagnosis of G2P1A0 h. 39-40 weeks + insimanation + living single fetal Presentation Head + Inpartu kala II + GBS + Failed + Vacuum Severily Underweight (BMI = 17) + TBJ 3000 Gr. Diagnosis of GBS are enforced based on anamnesis, physical examination and complementary examinations. From a previous illness history found anamnesis the weakness of limbs beginning in 2016. A history of the use of breathing apparatus and admitted tot the ICU in the first pregnancy. Mrs. M had a history of infections before being diagnosed with GBS. On this second pregnancy patients cannot move lower extremity but upper extermity is still functioning. Physical examination result of mothers and babies in the normal range even though found in conditions of severily BMI underweight. The patient finally decided to SC (section caesaria) and applied the IUD intracaesarean GBS in pregnancy is a coincidental. GBS is rarely aggravate pregnancy, but if not quickly identified and handled can enhance the high morbidity in both mother and fetus. In acute attacks (AIDP) in pregnant women with GBS increase stress on the mother or the fetus. The stress that occurs can also stimulate the immune system to produce prostaglandins, resulting in premature birth. Patients can give birth when the gestational age is still 7 months. It was different in the second pregnancy in this case where the patient was diagnosed with chronic inflammatory demyelinating polyradiculopathy (CIDP) so that GBS did not affect the mother and the fetus.

scholarly journals Effects of intravenous immunoglobulin therapy on patients of guillain barré syndrome in intensive care unit of BSMMU - a retrospective study

2009 ◽  
Vol 21 (2) ◽  
pp. 72-75
Author(s):  
Debasish Banik ◽  
Qumrul Huda ◽  
Labib Imran Faruque ◽  
Md Abdul Hye
Keyword(s):  
Retrospective Study ◽  
Early Phase ◽  
Average Duration ◽  
Immunoglobulin Therapy ◽  
Guillain Barre Syndrome ◽  
Intravenous Immunoglobulin Therapy ◽  
Duration Of Stay ◽  
Guillain Barré Syndrome ◽  
Life Threatening ◽  
Guillain Barré

Acute polyneuropathy or Guillain Barré syndrome (GBS) following respiratory, gastrointestinal and other illness cause a world wide morbidity and mortality. Immunotherapy (IgG) is early phase of GBS is supposed to reduce life threatening complications. In our retrospective study in ICU, BSMMU Dhaka from January 2007 to December 2008, we included 43 patients admitted during that time. Among the patients 15 patients who received IgG therapy, 1 (one) patient died and 8 patients died among 28 who did not receive Immunotherapy. Recovery rate was 91.66% among IgG group and 66.67% in non IgG group. Ventilated Patients were 53.33% in IgG group and 71.43% patients were in non IgG group. The average duration of stay was 35 days in IgG group and 39.18 days in non-IgG group. The average duration of stay was 22.57 days in IgG group who received immunotherapy in 0-4 days of onset of symptoms and 45.88 days in who got immunotherapy in 5-8 days of onset of symptoms. It is clearly evident that IgG therapy in early phase of GBS reduces, morality, morbidity and duration of hospital (ICU) stay and IgG therapy in early phase of GBS is a better treatment option. Key Words: GBS, immunoglobulin. Journal of BSA, 2008; 21(2): 72-75

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