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Guillain-Barré Syndrome: Pathophysiology and Treatment

Medically reviewed by Vova Dev
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Medically reviewed by Vova Dev

Everyone wants to be healthy and live a long life. Sometimes, we face obstacles that challenge our health. Everything related to health has serious consequences. One of the most common diseases that affects a person’s vitality is Guillain Barre syndrome. This is a severe condition that is becoming more and more evident every day.

This acute autoimmune condition causes pain throughout the body. Difficulty walking, moving, or doing anything are the first symptoms. Most people feel a tingling sensation in their body as if someone is touching them.

What is Guillain-Barré syndrome?

Understanding what is Guillain Barre syndrome can help with early detection, though prevention is not always possible. It causes a complete failure of the nervous system. The peripheral nerves are severely affected. This condition results in weakness of the body’s muscle tissue. It is impossible to determine the cause of the symptom. It has been shown that it occurs as a result of an infection. Another option is the production of antibodies by the human immune system. They affect and damage the nerves and their roots. This syndrome requires immediate examination by a doctor to prescribe treatment. A test is performed, and immunoglobulins are injected into the human body.

Pathophysiology of Guillain-Barré syndrome

Guillain-Barre syndrome is a severe disorder of the human neurological state. This syndrome usually occurs due to an infection. The immune system begins to attack the nervous system. The result is a rapid loss of muscle tone, body pain, and weakness. When someone experiences these symptoms, they should immediately consult a doctor.

The syndrome develops very quickly, and the consequences can be irreparable. To make a diagnosis, the doctor takes cerebrospinal fluid for testing. If the diagnosis is confirmed, the patient is immediately hospitalized. Timely and proper treatment will make it possible to forget about this syndrome in the future.

Dysfunction of the immune system

During the development of the syndrome, the body develops a dysfunction of the immune system. It is characterized by the inability to protect the body from pathogens. It also often confuses them and attacks their tissues. This dysfunction is usually associated with various diseases, such as arthritis. Frequent allergic reactions to various irritants can also be due to abnormal immune system activity. There may also be a complete weakening of the immune system or its absence. This condition is hazardous for a person because they do not have the ability to fight various viruses. Immune system disorders affect the appearance of Guillain-Barre syndrome.

Mechanisms of nerve injury

To understand Guillain-Barré syndrome, it’s essential to know its causes. It all starts with nerve damage. This is what affects their function and the nervous system in general. Here are the main factors of nerve damage:

  • External compression can cause nerve damage. It is caused by a trauma, hernia, or tumor that compresses the nerve.
  • Improper handling of the nerve can disrupt its function. This usually happens in case of injury when the nerve is stretched. Another reason is improper surgical intervention when the nerve is damaged.
  • Open wounds and cuts can also affect the nerve, which leads to its dysfunction.
  • When there is insufficient blood flow to the nerve, it leads to its loss of function. This usually occurs in diabetes or vascular diseases.
  • Excessive use of medications or certain chemicals have a negative effect on the nerves. They cause damage to nerve cells.

Variants of Guillain-Barré syndrome

The Guillain-Barre syndrome includes several types of syndromes. All of them have their characteristics and features. They are united by a feeling of pain, weakness, and loss of muscle activity. Here are the main ones:

  • Acute inflammatory demyelinating polyneuropathy. This particular inflammation has dire consequences if you do not see a doctor in time. There is a loss of function of peripheral nerves. Gradual muscle weakness and difficulty in movement are a consequence of inflammation. 
  • Miller Fisher syndrome. In this syndrome, a person loses vision and may experience eye pain. Balance disorders and loss of reflexes are other consequences of the syndrome.
  • Acute motor-axonal neuropathy. It is characterized by muscle weakening due to motor nerve damage.
  • Acute sensory demyelinating neuropathy. It is caused by damage to sensory nerves. This, in turn, causes loss of sensitivity and severe acute pain.

Causes and risk factors

To start treatment of Guillain Barre syndrome, it is essential to understand the causes of its occurrence. There are many risks and causes that can trigger the onset of this syndrome. The human body is often exposed to various infections and viruses. Our immune system can fight them. 

Various gastrointestinal infections have a very significant impact on the onset of the syndrome. Genetics also plays a role in the state of the human immune system. This syndrome affects anyone; the main thing is to notice the symptoms in time. A quick visit to a doctor and diagnosis will speed up the start of treatment. The most important thing is the proper treatment and the necessary care.

Infectious triggers

It’s important to understand that Guillain Barre syndrome is greatly influenced by infectious triggers. Usually, this syndrome is caused by certain infections and viruses. Diseases considerably weaken the immune system, and it is unable to fight viruses. The most important triggers are bacteria in the gastrointestinal tract. This and other bacteria have a huge impact and cause the syndrome. Such infections and viruses fight the immune system. It is unable to fight and mistakenly starts fighting the peripheral nerves. This situation causes the appearance of the syndrome.

Non-infectious triggers

Understanding what is Guillain Barre syndrome and what non-infectious triggers have an impact on it is very important. Non-infectious triggers include surgeries, vaccines, and trauma. Recent surgeries can provoke the immune system. This happens most often during gastrointestinal surgery. The immune system begins to destroy peripheral nerves. Vaccines, in some cases, are also triggers of the syndrome. Open, lacerated wounds can cause the syndrome. Nerves are torn, and this provokes improper body functioning. In any case, you should immediately seek medical attention. A quick prescription of treatment will help you get back to living your life to the fullest.

Symptoms and clinical picture

To begin treatment of Guillain Barre syndrome, it is essential to understand the symptoms of the syndrome and their onset. Symptoms have a slow onset that gets stronger every day. A person may experience constant weakness and tingling in the legs for some time. Often, no one takes this condition seriously. The next stage is weakness and pain throughout the body, especially in the arms. The syndrome can progress at a significant rate in some cases. Muscle weakness and muscle pain are the main symptoms. The loss of reflexes already means the onset of the syndrome; in some cases, there may be paralysis. Constant weakness, pain, numbness, and tingling throughout the body. Difficulty with movement and difficulty breathing are the main symptoms. At the first onset of symptoms, there is usually no pain. The syndrome can develop gradually, so it is essential to consult a doctor as soon as possible.

Symptoms-and-clinical-picture

Initial symptoms

In the initial stages of Guillain-Barre syndrome, a person may not realize what is happening to them. Usually, people don’t even pay attention to the initial symptoms. A person perceives them as a consequence of a hard day’s work or lack of sleep. Often, the initial symptoms may indicate a common condition that everyone has. The initial symptoms include: 

  • Weakness. A person usually feels weakness in the arms or legs. The weakness may not progress in the first few days but worsens over time.
  • Fatigue. A constant feeling of fatigue, which is increasing daily, indicates the onset of the syndrome.
  • Pain. The pain usually occurs in the back, legs, or arms. It can be aching or, on the contrary, sharp with tingling.
  • Numbness. A characteristic sign of the syndrome is the onset of numbness in the limbs. Every day, it becomes more and more severe; limb motor skills are lost, and reflexes are lost.

Extended symptoms

Extended symptoms have a worse effect on the human body. The onset of Guillain-Barre syndrome can be accompanied by certain symptoms. Here are the main ones of the extended symptoms:

  • A person notices severe weakness with great speed, which turns into numbness of the limbs.
  • Loss of reflexes can be gradual or occur immediately.
  • In severe cases, the loss of the ability to breathe independently is characterized. A person notices difficulty breathing and severe pain.
  • Symptoms of the syndrome can affect blood pressure and heart function. The pressure can be too high, and the pain in the heart causes pain.
  • Generally severe unpleasant pain throughout the body, accompanied by tingling. The pain can be aching and constant, or it can occur over some time.

Diagnosis of Guillain-Barré syndrome

Understanding what is Guillain Barre syndrome and whether a person has it will help to start the treatment process. Usually, special diagnostics are performed to obtain accurate results. The doctor examines the patient’s history, illnesses, methods, and treatments. They typically examine the condition of the nerves and their possible damage. A blood test is required to rule out other diseases. The primary test is a lumbar puncture, which is taken from the cerebrospinal fluid. It shows the level of protein in the body and studies the quantities of cells in it.

Clinical evaluation

Clinical assessment and special tests will speed up the treatment of Guillain Barre syndrome treatment. To begin with, the doctor carefully examines the patient and performs various manipulations. Physical examination is an essential step in starting the proper treatment. A person’s muscle weakness is assessed. The state of his sensory capabilities and reflexes are also included in the examination.

Diagnostic tests

Diagnostic tests give the best result and full visibility of the patient’s condition. Nerve conduction studies make it possible to assess the condition and damage of the nerves. An exceptional lumbar puncture allows us to examine the protein level and cells in it. To begin treatment of Guillain Barre syndrome, an important step is a blood test for infections and inflammation. Electromyography allows us to assess muscle activity. Nerve dysfunction is determined.

Treatment of Guillain-Barré syndrome

Treatment of Guillain-Barré syndrome aims for a quick recovery. Continuous therapy, patient monitoring, and treatment contribute to a rapid recovery. A particular intravenous immunoglobulin is injected into a person’s vein. It helps to speed up recovery. Plasma exchange allows the antibodies to be removed from the blood to reduce their damage to the nerves. Ongoing proper care contributes to the patient’s rapid recovery.

Guillain-Barre-syndrome-pathophysiology

Immunotherapy

Immunotherapy plays a vital role in the correct and precise treatment of the syndrome. The administration of immunoglobulin and plasma exchange contributes to a speedy recovery. The antibodies that affect the nerves are destroyed. Removal of blood plasma with antibodies involves replacing it with donor pure blood. Immunoglobulin neutralizes unnecessary and harmful antibodies. This approach allows you to treat the patient correctly and quickly. These methods are the most important in the treatment of Guillain-Barre syndrome.

Supportive care

During the patient’s treatment, it is essential to provide ongoing supportive care. In the syndrome, muscles lose their function. Constant supervision of the person’s condition and physiological capabilities is essential. With the syndrome, a person often loses the ability to breathe independently. Monitoring this process allows you to react quickly. Artificial lung ventilation is performed. Constant pain relief, proper nutrition, and care contribute to a speedy recovery.

Rehabilitation and recovery

Guillain-Barre syndrome is a severe disease. Proper treatment and patient care will speed up the patient’s recovery. The main thing after treatment is recovery and rehabilitation. Physical therapy is aimed at restoring the patient’s movements and reactions. Restoring muscle activity plays a vital role in rehabilitation. The patient’s recovery depends on their condition and how the syndrome has affected the patient’s health. Rehabilitation can take a few weeks or years.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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