Abstract
Prototype of acute demyelinating affections, the Guillain-Barré syndrome (GBS) presents as a bilateral, symmetrical, extensive, sensitivo-motor peripheral neuropathy. Elevated cerebrospinal fluid protein and spontaneous resolution of the deficits are cardinal to the identification of this syndrome. In contrast to former descriptions, it has appeared that functional as well as vital prognoses may be involved in some patients [1]. The label of benignity, too often attached to this syndrome, should be given up. The need for an effective treatment appears therefore important.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Asbury A, Arnason H, Karp H (1978) Criteria for the diagnosis of Guillain-Barré syndrome. Ann Neurol 3:565–566
Raphael JC, Masson C, Morice V, Brunei D, Gajdos Ph, Barois A, Goulon M (1986) Le syndrome de Landry-Guillain-Barré. Etude des facteurs pronostiques dans 223 cas. Rev Neurol 142:613–624
Goulon M, Nouailhat F, Babinet P, Grosbuis S, Barois A, Raphael JC, Gajdos Ph (1975) La dysautonomie des polyradiculonévrites aiguës primitives. Rev Neurol 131:95–119
Raphael JC, Chastang C, Masson C, Elkharrat D, Goulon M (1985) Guillain-Barré syndrome and plasma exchange. Lancet 2:45
Mc Khann GM, Griffin JW, Cornblath DR, Mellits ED, Fisher RS, Quaskey SA, and The Guillain-Barré Syndrome Study Group (1988) Plasmapheresis and Guillain-Barré syndrome: analysis of prognostic factors and the effect of plasmapheresis. Ann Neurol 23:347–353
Samantray SK, Johnson SC, Mathai KV, Polimood BM (1977) Landry-Guillain-Barré-Strohl syndrome. Med J Aust 2:84–91
Mc Farland HR, Heller GL (1966) Guillain-Barré disease complex. A statement of diagnostic criteria and analysis of 100 cases. Arch Neurol 14:196–201
Anderson T, Siden A (1982) A clinical study of the Guillain-Barré syndrome. Acta Neurol Scand 66:316–327
Eberle E, Brink J, Azens, White D (1975) Early predictors of incomplete recovery in children with Guillain-Barré polyneuritis. J Pediatr 86:356–359
Loffel NB, Rossi LN, Mumenthaler M, Lutschg J, Ludin HP (1977) The Landry-Guillain-Barré syndrome. Complications, prognosis and natural history in 123 cases. J Neurol Sci 33:71–79
Nyland H, Naess A, Skjaerven R (1984) Natural hystory and prognosis of acute Guillain-Barré syndrome. A follow-up study of 160 cases in Western Norway. Acta Neurol Scand 69 (S98):226–227
Winer JB, Greenwood RJ, Hughes RAC, Perkin GD (1985) Prognosis in Guillain-Barré syndrome. Lancet 1:1202–1203
Winer JB, Hughes RAC, Osmond C (1988) A prospective study of acute idiopathic neuropathy. I. Clinical features and their prognostic value. J Neurol Neurosurg Psychiatry 51:605–612
Hughes RAC, Newsom-Davis JM, Perkin GD, Pierce JM (1978) Controlled trial of prednisolone in acute polyneuropathy. Lancet 2:750–753
Brettle RP, Gross M, Legg NJ, Lockwood M, Pallis C (1978) Treatment of acute polyneuropathy by plasma exchange. Lancet 2:1100
Cook JD, Tindall RAS, Walker J, Khan A, Rosenberg R (1980) Plasma exchange as a treatment of acute and chronic idiopathic autoimmune polyneuropathy: limited success. Neurology 30:361–362
Dureux JB, Gerard A, Roche G, et al. (1981) Traitement des polyradiculonévrites aiguës par échanges plasmatiques. In: Hemoperfusion. Echanges plasmatiques en réanimation. Monographie de la Société de Réanimation de Langue Française. Expansion Scientifique (ed) Paris, pp. 357–363
Mark B, Hurwitz J, Olanow CW, Fay JW (1980) Plasmapheresis in idiopathic inflammatory polyradiculoneuropathy. Neurology 30:361
Ropper AH, Shahani B, Huggins CE (1980) Improvement in 4 patients with acute Guillain-Barré syndrome after plasma exchange. Neurology 30:361
Greenwood RJ, Hughes RAC, Bowden AN, et al. (1984) Controlled trial of plasma exchange in acute inflammatory polyradiculoneuropathy. Lancet 1:877–879
Osterman PO, Lundemo G, Pirskanen R, Fagius J, Pihlstedt P, Siden A, Safwenberg J (1984) Beneficial effects of plasma exchange in acute inflammatory polyradiculoneuropathy. Lancet 2:1296–1298
The Guillain-Barré syndrome study group (1985) Plasmapheresis and acute Guillain-Barré syndrome. Neurology 35:1096–1104
French Cooperative Group on plasma exchange in Guillain-Barré syndrome (1987) Efficiency of plasma exchange in Guillain-Barré syndrome: role of replacement fluids. Ann Neurol 22:753–761
Raphael JC, Chastang Cl, Vercken JB, et le Groupe Coopératif Français (1988) Efficacité à long terme des échanges plasmatiques (EP) dans le syndrome de Guillain-Barré (SGB). Résultats d’une étude contrôlée multicentrique. Réan Soins Intens Méd Urg 4:368 (abstract)
Metral S, Raphael JC, Hort-Legrand Cl, Elkharrat D (1989) Activité démyélinisante sérique et syndrome de Guillain-Barré: effet favorable des échanges plasmatiques. Rev Neurol 145:312–319
Mendell JR, Kissel JT, Kennedy MS, et al. (1985) Plasma exchange and prednisone in Guillain-Barré syndrome: a controlled randomized trial. Neurology 35:1551–1555
Consensus Conference (1986) The utility of therapeutic plasmapheresis for neurological disorders. JAMA 256:1333–1337
Anonymous (1986) Plasma exchange for neurological disorders. Lancet 2:1313–1314 (Editorial)
Raphael JC, Chastang Cl, et le Groupe Coopératif Français (1989) Etude multicentrique sur l’effet des échanges plasmatiques dans le syndrome de Guillain-Barré. Recherche d’une stratégie thérapeutique. Analyse intermédiaire des effets à court terme. Réan Soins Intens Méd Urg 5:433 (abstract)
Mc Khann GM, Griffin JW, Cornblath DR, Quaskey SA, Mellits ED (1988) Role of therapeutic plasmapheresis in the acute Guillain-Barré syndrome. J Neuroimmunol 20:297–300
Vermeulen M, Van der Meché FGA, Speelman JD, et al. (1985) Plasma and gamma-globu-line infusion in chronic inflammatory polyneuropathy. J Neurol Sci 70:317–326
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag Berlin, Heidelberg
About this paper
Cite this paper
Raphael, J.C., Chevret, S., Elkharrat, D. (1991). Plasma Exchange in the Guillain-Barré Syndrome. In: Vincent, J.L. (eds) Update 1991. Update in Intensive Care and Emergency Medicine, vol 14. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84423-2_59
Download citation
DOI: https://doi.org/10.1007/978-3-642-84423-2_59
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-53672-7
Online ISBN: 978-3-642-84423-2
eBook Packages: Springer Book Archive