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What are the latest advances in Guillain-Barre Syndrome?

Here you can see the latest advances and discoveries made regarding Guillain-Barre Syndrome.

Latest progress of Guillain-Barre Syndrome

Guillain-Barre Syndrome (GBS) is a rare neurological disorder that affects the peripheral nervous system, leading to muscle weakness and sometimes paralysis. While the exact cause of GBS is still unknown, it is often preceded by an infection, such as a respiratory or gastrointestinal infection. Over the years, significant advances have been made in understanding and managing this condition, improving outcomes for patients.



Early diagnosis and treatment play a crucial role in managing GBS. Prompt recognition of symptoms and initiation of treatment can help prevent further nerve damage and improve recovery. Advances in diagnostic techniques, such as nerve conduction studies and lumbar puncture, have made it easier to identify GBS and differentiate it from other similar conditions.



Intravenous immunoglobulin (IVIG) and plasma exchange (plasmapheresis) are the two main treatment options for GBS. IVIG is derived from donated blood and contains antibodies that help reduce the immune response causing nerve damage. Plasma exchange involves removing the patient's blood plasma and replacing it with donor plasma, effectively removing harmful antibodies. Both treatments have shown significant efficacy in speeding up recovery and reducing the severity of symptoms.



Research efforts have focused on understanding the underlying mechanisms of GBS and developing targeted therapies. Scientists have identified specific antibodies associated with GBS, such as anti-ganglioside antibodies, which play a role in nerve damage. This knowledge has paved the way for potential targeted treatments that could specifically neutralize these antibodies and prevent nerve damage.



Advancements in supportive care have also improved outcomes for GBS patients. As GBS can cause respiratory muscle weakness, close monitoring and respiratory support, such as mechanical ventilation, are crucial in preventing complications. Physical therapy and rehabilitation programs help patients regain strength and mobility, reducing the long-term impact of the condition.



Collaborative efforts among healthcare professionals, researchers, and patient advocacy groups have been instrumental in advancing GBS research and improving patient care. International networks and registries have been established to collect data and facilitate collaboration, leading to a better understanding of the condition and more effective treatment strategies.



Emerging therapies are being explored to further enhance GBS treatment. One such approach is the use of complement inhibitors to prevent nerve damage. Complement inhibitors target a part of the immune system involved in the inflammatory response, potentially reducing the severity of GBS symptoms. Clinical trials are underway to evaluate the safety and efficacy of these novel therapies.



Improved post-GBS management is another area of focus. While most patients recover from GBS, some may experience long-term effects, such as weakness, fatigue, and pain. Rehabilitation programs, pain management strategies, and psychological support are being developed to address these ongoing challenges and improve the quality of life for GBS survivors.



Public awareness and education about GBS have also increased in recent years. Efforts to educate healthcare professionals and the general public about the early signs and symptoms of GBS have led to earlier diagnosis and treatment initiation. This has resulted in better outcomes and reduced the risk of severe complications.



In conclusion, significant advances have been made in the understanding and management of Guillain-Barre Syndrome. Early diagnosis, prompt treatment initiation, and advancements in supportive care have improved outcomes for patients. Ongoing research, collaborative efforts, and emerging therapies hold promise for further enhancing GBS treatment and post-GBS management. Increased public awareness and education contribute to early recognition and intervention, ultimately improving the prognosis for individuals affected by GBS.


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11 answers

Posted Aug 28, 2017 by Bogár 100
iVIG treatment are more available.

Posted Sep 3, 2017 by James 2825
I know that there is better physical therapy but I do not know of new treatments expect ivig treatment in the beginning of illness

Posted Sep 10, 2017 by Connie 2000
Acute idiopathic demyelinating polyneuritis (AIDP), commonly known as the Guillain-Barré syndrome (GBS), is an immune-mediated demyelinating disease of the peripheral nerve and nerve roots. A number of immunological mechanisms were described, but the exact pathomechanism has not been explained fully. Presumably, a variety of immunological processes lead to a relatively uniform clinical phenotype. Two large multicenter studies showed that plasma exchange (PE) was significantly superior to supportive treatment only. Selective adsorption (SA) also was employed as a method of therapeutic apheresis, and various smaller studies established that both PE and SA are equally effective treatments for GBS. Recently, it was demonstrated that the number of apheresis treatments should be adapted to the severity of disease. A large multicenter controlled study established equal efficacy of PE and intravenous immunoglobulin treatment (IVIg) as well as the combination of PE and IVIg. Since that time, the use of apheresis for the treatment of GBS declined in many countries due to the easier application of IVIg. The number of patients treated in larger hospitals with long-standing experience in the treatment of GBS also has declined.

Posted Sep 10, 2017 by Debra 2000
IN MY OPINION --- In my midwest location, I'm unaware of any research or clinical trials available to GBS patients. GBS is rare, & not a serious enough problem in scale to command the widespread attention of the public, compared to cancer, heart disease, or diabetes. Big PHARMA puts it's research investments where it will produce the greatest returns. Realistically, we're fortunate that we know as much as we do know about GBS (which is that GBS is not one single disease, but a variety of acute neuropathies with a number of related immune system behaviors). I'd remain aware of the latest published literature, books on GBS, books on neuropathy, to try to understand the latest strategies for coping with GBS.

Posted Sep 12, 2017 by Denny 2300
None specifically. IVIG & Plasmapheresis remains the front line treatments.

Posted Oct 28, 2017 by Kath Donaldson 2065
Advances in management of Guillain-Barré syndrome.
Review article
Doets AY, et al. Curr Opin Neurol. 2018.
Show full citation
Abstract
PURPOSE OF REVIEW: The clinical presentation of Guillain-Barré syndrome (GBS) is highly variable, which can make the diagnosis challenging. Intravenous immunoglobulin (IVIg) and plasma exchange are the cornerstones of treatment since decades. But despite these treatments, 25% initially progress in muscle weakness, 25% require artificial ventilation, 20% is still not able to walk independently after 6 months, and 2-5% die, emphasizing the need for better treatment. We summarize new developments regarding the diagnosis, prognosis, and management of GBS.

RECENT FINDINGS: GBS is a clinical diagnosis that can be supported by cerebrospinal fluid examination and nerve conduction studies. Nerve ultrasound and MRI are potentially useful techniques to diagnose inflammatory neuropathies. Several novel infections have recently been associated to GBS. Evidence from experimental studies and recent phase 2 clinical trials suggests that complement inhibition combined with IVIg might improve outcome in GBS, but further studies are warranted. Prognostic models could guide the selection of patients with a relatively poor prognosis that might benefit most from additional IVIg or otherwise intensified treatment.

SUMMARY: New diagnostic tools may help to have early and accurate diagnosis in difficult GBS cases. Increased knowledge on the pathophysiology of GBS forms the basis for development of new, targeted, and personalized treatments that hopefully improve outcome.

Posted Sep 8, 2019 by Tara32473 2570
I am unsure of any advances in GBS.

I only know of advanced pain treatments

Posted Sep 9, 2019 by Joe Wojtanowski 2500
Translated from spanish Improve translation
Are you working a lot with the immune system and with the test liquid raquideo

Posted Sep 10, 2017 by Marta 2000
Translated from french Improve translation
Having been hospitalized in 2015-16 I think I have received the care the most recent. I don't know specifically of a new treatment ...

Posted Oct 19, 2017 by Nicolas 3560

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Stories of Guillain-Barre Syndrome

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About 7 years ago I contacted GBS, a serious disorder that occurs when the body's defense (immune) system starts attacking part of the nervous system. This leads to nerve inflammation that causes muscle weakness and eventually paralysis. Though bein...
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I was diagnosed with Miller Fisher Syndrome on 6th March 2011 but, with the benefit of hindsight and research, I now realise the symptoms had been developing for several weeks beforehand. We had been skiing in France at the end of January and returne...
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Hi, I'm Mikael. My story real short; Was first diagnosed back in 1994, age 17, where I within 24 hours went from running to almost bed- and wheelchair bound. Hospitalized 3 week, 5 x IVIG, lost +10 kg bodymass, most muscle. Fought my way back to a re...
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I origiinally thought is was coming doen with flu or something similar on 31st July 2015. After a heavey night sweat it felt OK the next day. On the 3rd August i woke up with what i can describe as crampy feeling in both legs, buttock and triceps. I...
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Nincs jó az angol tudásom, így néha segített a google.   NOS, AZ ÉN TÖRTÉNETEM GBS:   Elmúlt 26 márciusban, amikor mentem a lábam egy budapesti kórház. Mielőtt 1 hét 1 nap, éreztem a torkomban fáj, és talán láza van. Nem fog...

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Guillain-Barre Syndrome forum

GUILLAIN-BARRE SYNDROME FORUM
Guillain-Barre Syndrome forum
I dont know if I can get it. Can any one help me?
Guillain-Barre Syndrome forum
Would I be able to get the TDAP shot or is it as risky as getting the flu shot?
Guillain-Barre Syndrome forum
Has anyone else had recurrent GBS? According to minimal research available, it is more prevalent in younger patients. That would be consistent with my history of being diagnosed at 7 years old and again at 11 years old.
Guillain-Barre Syndrome forum
I would like to know if Zika Virus and Guillain Barre Syndrome are related. Does Zika virus infection can cause Guillain Barre syndrome?
Guillain-Barre Syndrome forum
Many people have suggested me to be positive even when you have a real reason to be negative... Some people recommends me to do meditation, yoga or similar stuff... but sincerely I dont feel like. does it happens to you?

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