Guillain-Barré Syndrome (GBS)

Why in News?

Recent reports from Madhya Pradesh (Neemuch district) indicate multiple cases and deaths linked to Guillain-Barré Syndrome (GBS), prompting public health response and outbreak investigation.

Description:

Key Terms:

  • Autoimmune Disorder: Immune system attacks the body’s own tissues
  • Peripheral Nervous System (PNS): Nerves outside the brain and spinal cord
  • Ascending Paralysis: Weakness starting in legs and moving upward

About Guillain-Barré Syndrome

  • Rare neurological disorder
  • Immune system attacks peripheral nerves
  • Often triggered after an infection, not caused by infection itself
  • Considered a medical emergency
Cause & TriggerPathophysiology
Exact cause unknown
Often preceded by infections
Viral: Influenza, COVID-19
Bacterial: Campylobacter jejuni, Rarely after surgery or vaccination & Not contagiousNot water-borne
Autoimmune immune response
Damage to peripheral nerves Affects: Myelin sheath (demyelinating type) or Axons of peripheral nerves
Results in impaired nerve signal transmission
Key Clinical FeaturesDiagnosis
Progressive muscle weakness
Tingling / numbness in limbs
Ascending paralysis
Loss of reflexes
Severe cases: Breathing difficulty, Autonomic dysfunction, Can be fatal without treatment
Clinical presentation
Nerve conduction studies
Cerebrospinal Fluid (CSF) findings: Albuminocytologic dissociation, High protein with normal cell count

Treatment:

  • No definitive cure
  • Supportive and immunomodulatory therapy: Intravenous Immunoglobulin (IVIG), Plasmapheresis
  • Early treatment improves outcomes

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