The history, clinical presentation and pathological findings of the Guillain-Barré Syndrome are presented. An analysis is made of patients with this syndrome admitted to an intensive care ward over a six year period. Results and management are discussed.
References
1.
AdamsR. D., AshburyA. K. (1974): Principles Internal Medicine, 7th edit., p. 1719, McGraw Hill, London.
2.
AndersonL. B. (1972): “Allergy and the Guillain-Barré Syndrome”, J. Amer. Med. Ass., 220, 127.
3.
Anon (1971): “Immunological Aspects of the Guillain-Barré Syndrome”, Lancet, 1, 1340.
4.
ArnasonB. G. (1971): “Idiopathic Polyneuritis and Experimental Allergic Neuritis. A Comparison”, Res. Publ. Assoc. Res. Nerv. Ment., 49, 150.
5.
AshburyA. K., ArnasonB. G., AdamsR. D. (1969): “The Inflammatory Lesion in Idiopathic Polyneuritis: Its Role and its Pathogenesis”, Medicine, 48, 173.
6.
BehanP. O., LamarcheJ. B., FeldmanR. G. (1969): “Immunopathological Mechanisms of Allergic Neuritis in Animals, Primates and Man”, Trans. Amer. Neurol. Ass., 94, 219.
BornsteinB. (1967): “Considerations in the Guillain-Barré Syndrome”, Neuropathological Problems, Permagon, Oxford, p. 377.
10.
BurchG. E. (1973): “Viral Cardiomyopathy: Syndrome of Viral Heart and Neurologic Disease”, South. Med. J., 66, 1393.
11.
CameronJ. L., ReynoldsJ., ZuidemaG. D. (1973): “Aspiration in Patients with Tracheostomies”, Surg. Gynecol. Obstet., 136, 68.
12.
ConomyJ. P., BraatzJ. H. (1971): “Guillain-Barré Syndrome: The Physical Therapist and Patient Care”, Phys. Ther., 51, 517.
13.
CookS. D., DowlingP. C., MurrayM. R., WhitakerJ. N. (1970): “Circulating Demyelinating Factors in Acute Idiopathic Polyneuropathy”, Arch. Neurol., 24, 136.
14.
EibenR. M., GersonyW. M. (1963): “Recognition, Prognosis and Treatment of the Guillain-Barré Syndrome”, Med. Clin. N. Amer., 47, 1371.
15.
ElizanT. S., SpireJ. P., AndimanR. M., BaughmanF. A., Lloyd-SmithD. L. (1971): “Syndrome of Acute Idiopathic Opthalmoplegia with Ataxia and Areflexia”, Neurol., 21, 281.
16.
FaberV., BalslovJ. T. (1970): “Immuno-fluorescent Studies of Renal Biopsies in Acute Polyradiculitis”, Acta Pathol. Microbiol. Scand., 78, 655.
17.
GilliganJ. E. (1975): Management of Tetanus—a five year review. (in preparation).
18.
GuillainG. (1936): “Radiculoneuritis with Acellular Hyperalbuminosis of the Cerebrospinal Fluid”, Arch. Neurol and Psychiatr., 36, 975.
19.
GuillainG., BarréJ. A., StrohlA. (1916): “Sur un Syndrome de Radiculoneurite avee Hyperalbuminose de Liquide Cephalo-rachidien sans Reaction Cellulaire: Remarques sur les Caracteres Cliniques et Graphiques des Reflexes Tendineux”, Bull. et Memoires de la Societe de Medicine de Paris, 40, 1462.
20.
GuillainG. (1938): “Synthese Generale de la Discussion”, J. belge Neurol. et de Psychiatr., 38, 323.
21.
GundermanJ. R. (1973): “Guillain-Barré Syndrome: Occurrence Following Combined Mumps-rubella Vaccine”, Amer. J. Dis. Children., 125, 824.
22.
HaymakerW., KernohanJ. W. (1949): “Landry-Guillain-Barré Syndrome”, Medicine, 28, 59.
23.
HinmanR. C., MageeK. R. (1967): “Guillain-Barré Syndrome with Slow Progressive Onset and Persistent Elevation of Spinal Fluid Protein”, Ann. Intern. Med., 67, 1007.
24.
HiranoA., CookS. D., WhitakerJ. N., DowlingP. C., MurrayM. R. (1971): “Fine Structural Aspects of Demyelination in Vitro—The Aspects of Guillain-Barré Syndrome”, J. Neuropathol. Exp. Neurol., 30, 249.
25.
JenkinsR. B. (1966): “Neuropathies and the Guillain-Barré Syndrome”, Clin. Proc. Children's Hospital D.C., 22, 306.
LandryO. (1859): “Note sur la Paralysie Ascendante Acgue”, Gaz. Hebd. Med., 6, 472.
28.
LinkH. (1973): “Immunoglobulin Abnormalities in the Guillain-Barré Syndrome”, J. Neurol. Sc., 18, 11.
29.
LuijtenJ. A., Baart de laFaille-Kuyp (1972): “The Occurrence of IgM and Complement Factors Along Myelin Sheaths of Peripheral Nerves. An Immunohistochemical Study of the Guillain-Barré Syndrome”, J. Neurol. Sc., 15, 219.
30.
McCleaveD. J., HavillJ. H. (1975): “Role and Function of Intensive Care—A Review Years Activity”, in preparation.
31.
McCleaveD. J. (1975): Unpublished data.
32.
McFarlandH. R., HellerG. L. (1966): “Guillain-Barré Disease Complex”, Arch. Neurol., 14, 196.
33.
MarklandL. D., RileyH. D. (1967): “The Guillain-Barré Syndrome in Childhood”, Clin. Pediat., 6, 162.
34.
MarshallJ. (1963): “The Landry-Guillaine-Barré Syndrome”, Brain, 86, 55.
35.
MasucciE. F., KurtzkeJ. F. (1971): “Diagnostic Criteria for the Guillain-Barré Syndrome: An Analysis of 50 Cases”, J. Neurol. Sc., 13, 483.
36.
MelnickS. C. (1963): “Thirty-eight Cases of the Guillain-Barré Syndrome: An Immunological Study”, Brit. Med. J., 1, 368.
37.
MerrittH. H. (1967): Infectious Polyneuritis. Textbook Neurology (Ed. Merritt), 4th Ed., Lea and Febiger, Philadelphia, p. 665.
38.
MurrayM. R., CookS. D., DowlingP. C. (1970): “Myelinotoxic Activity of Guillain-Barré Serum on Cultures of Peripheral Nerve Tissue”, Proc. VI Congress Neuropath.Paris Masson, p. 611.
39.
NikoskelainenF., RiekkinenP. (1972): “Retrobulbar Neuritis as an Early Symptom of Guillain-Barré Syndrome: Report of a Case”, Acta Opthalmol (KBH), 50, 111.
40.
OsierL., SiddellA. D. (1960): “The Guillain-Barré Syndrome: The Need for Exact Diagnostic Criteria”, New Eng. J. Med., 262, 964.
41.
PaulsonG. L. (1970): “The Landry-Guillain-Barré-Strohl Syndrome in Childhood”, Devel. Med. Child. Neurol., 12, 604.
42.
PetersD. K., SevittL. H., DirekzeM., BaylissS. G. (1973): “Landry-Guillain-Barré-Strohl Polyneuritis and the Nephrotic Syndrome”, Lancet, 1, 1183.
43.
RavnH. (1967): “The Landry-Guillain-Barré Syndrome. A Survey and Clinical Report of 127 Cases”, Acta Neurol. Scand. Supp. (30), 43, 1.
44.
ToogoodI. R. G. (1973): “Historical Aspects and Clinical Review Landry-Guillain-Barré-Strohl Syndrome”, Sth. Aust. Clinics, 6, (3), 202.
45.
Van BogaertL., PhillipsF., RadermeckerJ. (1938): “Essai sur un Groupe Epidemique de cas Polyradiculo-neurite Avee Dissociation Albuminocytologique de Liquide Cephalo-rachidien (Type de Guillain-Barré) chez l'enfant et chez l'adulte”, J. Beige. Neurol. Psychiatr., 38, 151.
46.
WaksmanB. H., AdamsR. D. (1955): “Allergic Neuritis: An Experimental Disease of Rabbits Induced by Injection of Peripheral Nervous Tissue and Adjuvants”, J. Exp. Med., 102, 213.
47.
WiederholtW. C., MulderD. W., LambertE. H. (1964): “The Landry-Guillain-Barré-Strohl Syndrome, or Polyradiculoneuropathy: Historical Review, Report of 97 Patients, and Present Concepts”, Mayo Clin. Proc., 39, 429.
48.
WinspurI. (1970): “Tegretol for Pain in the Guillain-Barré Syndrome”, Lancet, 1, 85.
