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The Challenge of Respiratory Dysfunction in Guillain-Barré Syndrome
Arch Neurol. 2001;58:871-872.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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GUILLAIN-BARRÉ SYNDROME (GBS) is the most common cause of acute
neuromuscular paralysis in Western countries, affecting between 1 and 4 per
100 000 population annually.1 Diagnosis
of GBS is based on a set of defined clinical and laboratory criteria2 and on the exclusion of other causes of acute neuromuscular
weakness. Electrodiagnostic studies are most helpful for defining the peripheral
neuropathy and GBS subtype.3 Weakness develops
acutely within hours to a few days, usually involving the legs first, but
often eventually leading to flaccid quadriparesis, facial diplegia, and bulbar
weakness. Patients may become bedridden and, in severe cases, totally paralyzed
with the inherent compromise of respiration and autonomic functions. About
25% to 30% of the patients with GBS require mechanical ventilation at some
time during their illness.
During the acutely evolving and progressive phase of the disease, in
the first 2 to 4 weeks, clinical management can be difficult. The failing
of . . . [Full Text of this Article]
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