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Acute Inflammatory Demyelinating Polyradiculoneuropathy

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Clinical Characteristics and Electrodiagnostic Features of Guillain-Barré Syndrome Among the Pediatric Population.

Mahmoud Reza Ashrafi, Ariadokht Mohammadalipoor, Alireza Ranjbar Naeini, Man Amanat, Ali Reza Tavasoli, Morteza Heidari, Reza Shervin Badv, Mahmoud Mohammadi, Gholam Reza Zamani, Shahram Rahimi-Dehgolan, Rosa Rahimi, Masood Ghahvechi Akbari,

INTRODUCTION:Guillain-Barré syndrome is an immune-mediated peripheral neuropathy characterized by different clinical manifestations. We aimed to describe the clinical features, seasonal distribution, subtypes, and electrodiagnostic characteristics of Iranian children with Guillain-Barré syndrome. METHODS:In this prospective study, a total of 30 children with Guillain-Barré syndrome were evaluated. All demographic features were collected ... Read more >>

J. Child Neurol. (Journal of child neurology)
[2020, :883073820905157]

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Deciphering immune mechanisms in chronic inflammatory demyelinating polyneuropathies.

Jolien Wolbert, Mandy I Cheng, Gerd Meyer Zu Horste, Maureen A Su,

Chronic inflammatory demyelinating polyneuropathy (CIDP) is an autoimmune disease of the peripheral nerves that presents with either chronic progression or relapsing disease. Recent studies in samples from patients with CIDP and mouse models have delineated how defects in central (thymic) and peripheral (extrathymic) immune tolerance mechanisms can cause PNS autoimmunity. ... Read more >>

JCI Insight (JCI insight)
[2020, 5(3):]

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Treatment-related fluctuations in subacute inflammatory demyelinating polyneuropathy.

Young Gi Min, Yoon-Ho Hong,

Treatment-related fluctuation (TRF), only defined in Guillain-Barre syndrome (GBS), refer to the deterioration of symptoms following treatment-induced improvement, and implies disease activity lasting beyond the effect of immunotherapy. Here, we first propose the concept of TRF in subacute inflammatory demyelinating polyneuropathy (SIDP) with description of a corresponding case. A 27-year-old ... Read more >>

eNeurologicalSci (eNeurologicalSci)
[2020, 18:100224]

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Axonal variants of Guillain-Barré syndrome: an update.

Pei Shang, Mingqin Zhu, Ying Wang, Xiangyu Zheng, Xiujuan Wu, Jie Zhu, Jiachun Feng, Hong-Liang Zhang,

Axonal variants of Guillain-Barré syndrome (GBS) mainly include acute motor axonal neuropathy, acute motor and sensory axonal neuropathy, and pharyngeal-cervical-brachial weakness. Molecular mimicry of human gangliosides by a pathogen's lipooligosaccharides is a well-established mechanism for Campylobacter jejuni-associated GBS. New triggers of the axonal variants of GBS (axonal GBS), such as ... Read more >>

J. Neurol. (Journal of neurology)
[2020, :]

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Early Aggressive Immunotherapy Improves Functional Outcome in Chronic Immune Sensory Polyradiculopathy.

Jasmine Shimin Koh, James Wei Min Tung, Genevieve Lynn Yu Tan-Yu, Thirugnanam Umapathi,

Chronic immune sensory polyradiculopathy (CISP) is an uncommon and treatable inflammatory disorder of the proximal sensory nerve roots. Patients typically present with severe sensory ataxia, normal motor examination, unsteady gait, and normal nerve conduction studies (NCS). We describe an elderly man who presented with a two-week history of progressive numbness ... Read more >>

Case Rep Neurol Med (Case reports in neurological medicine)
[2020, 2020:6595086]

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Patients with chronic autoimmune demyelinating polyneuropathies exhibit cognitive deficits which might be associated with CSF evidence of blood-brain barrier disturbance.

Yavor Yalachkov, Valerie Uhlmann, Johannes Bergmann, Dilara Soydaş, Stefan Frisch, Marion Behrens, Christian Foerch, Johannes Gehrig,

BACKGROUND:Chronic autoimmune demyelinating polyneuropathies (CADP) result in impaired sensorimotor function. However, anecdotal clinical observations suggest the development of cognitive deficits during the course of disease. METHODS:We tested 16 patients with CADP (11 patients with chronic inflammatory demyelinating polyneuropathy, 4 patients with multifocal motor neuropathy and 1 patient with multifocal acquired ... Read more >>

PLoS ONE (PloS one)
[2020, 15(2):e0228679]

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Clinical features of Guillain–Barré syndrome patients with elevated serum creatine kinase levels

Takafumi Hosokawa, Hideto Nakajima, Taiki Sawai, Yoshitsugu Nakamura, Eri Sano, Akihiro Tsukahara, Kiichi Unoda, Shimon Ishida, Sadaki Sakane, Fumiharu Kimura, Shigeki Arawaka,

<title>Abstract</title> <p> Background: It is not well defined whether Guillain–Barré syndrome (GBS) patients with elevated serum creatine kinase (CK) levels have characteristic clinical features and are related to the subgroups of GBS. Methods: We retrospectively studied 51 consecutive patients with GBS, who visited our hospital, and compared clinical, ... Read more >>

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Diagnosis and Treatment of Hereditary Transthyretin Amyloidosis (hATTR) Polyneuropathy: Current Perspectives on Improving Patient Care.

Marco Luigetti, Angela Romano, Andrea Di Paolantonio, Giulia Bisogni, Mario Sabatelli,

Hereditary transthyretin amyloidosis (hATTR) with polyneuropathy (formerly known as Familial Amyloid Polyneuropathy) is a rare disease due to mutations in the gene encoding transthyretin (TTR) and characterized by multisystem extracellular deposition of amyloid, leading to dysfunction of different organs and tissues. hATTR amyloidosis represents a diagnostic challenge for neurologists considering ... Read more >>

Ther Clin Risk Manag (Therapeutics and clinical risk management)
[2020, 16:109-123]

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Acute inflammatory demyelinating polyneuropathy following interruption of antiretroviral treatment and HIV rebound.

Daniela Malano, Juan Tiraboschi, Maria Saumoy, Daniel Podzamczer,

J. Antimicrob. Chemother. (The Journal of antimicrobial chemotherapy)
[2020, :]

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Miller Fisher syndrome with bilateral vocal cord paralysis: a case report.

Karan N Ramakrishna, Vikrant Tambe, Adithya Kattamanchi, Amit S Dhamoon,

BACKGROUND:Miller Fisher syndrome is a variant of acute inflammatory demyelinating polyneuropathy classically characterized by ataxia, ophthalmoplegia, and areflexia. Miller Fisher syndrome can present with uncommon symptoms such as bulbar, facial, and somatic muscle palsies and micturition disturbance. CASE PRESENTATION:We describe the case of a 76-year-old white man with new-onset ataxia, ... Read more >>

J Med Case Rep (Journal of medical case reports)
[2020, 14(1):31]

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Neuraxial Anesthesia and Lower Extremity Peripheral Nerve Blocks for Ankle Surgery in a Patient With Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report.

Ashley V Wells, Michael Akerman, Roniel Y Weinberg,

Chronic inflammatory demyelinating polyneuropathy (CIDP) is a rare autoimmune disease that targets the peripheral nervous system. The literature on the use of regional anesthesia in CIDP is limited. We report a patient with CIDP who received a combined spinal-epidural (CSE) and saphenous and popliteal peripheral nerve blocks (PNBs) for ankle ... Read more >>

A A Pract (A&A practice)
[2020, 14(2):51-53]

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Integrated Chinese and Western Medicine for Acute Guillain-barré Syndrome Treatment.

Liu Yang, Xiumin Zhao,

Introduction:Guillain-Barré syndrome (GBS) is a worldwide demyelinating polyradiculopathy and polyneuropathy. Currently, there is no specific drug for GBS, and established treatment is generally based on immune-modulating treatment with plasma exchange or intravenous immunoglobulin in combination with supportive care. This study aimed to investigate the efficiency of integrated Chinese and Western ... Read more >>

Transl Neurosci (Translational neuroscience)
[2020, 11:38-47]

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Neurological Adverse Effects Associated with anti-TNF Alpha Antibodies in Pediatric Inflammatory Bowel Diseases.

Valérie Bertrand, Nathalie Massy, Bénédicte Pigneur, Stéphanie Coopman, Geneviève Durrieu, Louise Gaboriau, Vincent Langlois, Corinne Gower-Rousseau, Jean-Pierre Hugot, Frank M Ruemmele, ,

OBJECTIVES:neurologic adverse effects (NAE) induced by biotherapies have been reported in the literature mainly in adult patients with inflammatory bowel disease (IBD), rheumatic diseases or psoriasis. There are scant data in children. Aims of this study are to report and describe non-infective NAE associated with anti-TNFα antibodies in pediatric IBD, ... Read more >>

J. Pediatr. Gastroenterol. Nutr. (Journal of pediatric gastroenterology and nutrition)
[2020, :]

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Dysautonomia in Guillain-Barré Syndrome: Prevalence, Clinical Spectrum, and Outcomes.

Tia Chakraborty, Christopher L Kramer, Eelco F M Wijdicks, Alejandro A Rabinstein,

BACKGROUND:Guillain-Barré syndrome (GBS), when severe, involves the autonomic nervous system; our objective was to assess the spectrum and predictors of dysautonomia, and how it may impact functional outcomes. METHODS:A retrospective review of patients admitted to the Mayo Clinic in Rochester, MN between January 1, 2000, and December 31, 2017, with ... Read more >>

Neurocrit Care (Neurocritical care)
[2020, 32(1):113-120]

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Guillain-Barré and Acute Transverse Myelitis Overlap Syndrome Following Obstetric Surgery.

Adina Stoian, Anca Motataianu, Zoltan Bajko, Adrian Balasa,

Introduction:There are rare reports of the occurrence of acute transverse myelitis and Guillain-Barré syndrome after various surgical procedures and general/epidural anaesthesia. The concomitant occurrence of these pathologies is very rare and is called Guillain-Barré and acute transverse myelitis overlap syndrome. In this article, we present the case of a second ... Read more >>

J Crit Care Med (Targu Mures) (Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures))
[2020, 6(1):74-79]

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Tuberculous meningitis: An unlikely cause of Guillain-Barre syndrome.

Dev Nishanth, Kumar Rahul, Kumawat Ashok, Chakravarthy Sanjay,

Guillain-Barre syndrome (GBS) is a life-threatening immune-mediated acute inflammatory polyneuropathy and is associated with various antecedent infections. Its association with tuberculosis is very uncommon with only a handful of cases being reported in the literature. It's association with tuberculous meningitis is even more scarce with only one case reported in ... Read more >>

Indian J Tuberc (The Indian journal of tuberculosis)
[2020, 67(1):139-142]

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Bioactive Glass in a Rare Case of Osteomyelitis of the Heel in a Guillain-Barré Syndrome: A Case Report.

Elisabetta Iacopi, Simone Ferranti, Nicola Riitano, Lorenza Abbruzzese, Letizia Pieruzzi, Chiara Goretti, Virna Zampa, Alberto Piaggesi,

Guillain-Barré syndrome (GBS) represents an acute inflammatory immune-mediated demyelinating polyradiculoneuropathy with an incidence of 0.6 per 100 000 people. In this article, we report the case of a 19-year-old girl affected by GBS since the age of 2 who presented at our clinic complaining for a chronic plantar hindfoot-infected ulceration. Serology ... Read more >>

Int J Low Extrem Wounds (The international journal of lower extremity wounds)
[2020, :1534734619896462]

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Hyper-reflexia in Guillain-Barré syndrome: systematic review.

Antonino Uncini, Francesca Notturno, Satoshi Kuwabara,

Areflexia or hyporeflexia is a mandatory clinical criterion for the diagnosis of Guillain-Barré syndrome (GBS). A systematic review of the literature from 1 January 1993 to 30 August 2019 revealed 44 sufficiently detailed patients with GBS and hyper-reflexia, along with one we describe. 73.3% of patients were from Japan, 6.7% ... Read more >>

J. Neurol. Neurosurg. Psychiatry (Journal of neurology, neurosurgery, and psychiatry)
[2020, 91(3):278-284]

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Increased serum neurofilament light chain concentration indicates poor outcome in Guillain-Barré syndrome.

Patrick Altmann, Desiree De Simoni, Alexandra Kaider, Birgit Ludwig, Jakob Rath, Fritz Leutmezer, Fritz Zimprich, Romana Hoeftberger, Michael P Lunn, Amanda Heslegrave, Thomas Berger, Henrik Zetterberg, Paulus Stefan Rommer,

BACKGROUND:Guillain-Barré syndrome (GBS) is an autoimmune disease that results in demyelination and axonal damage. Five percent of patients die and 20% remain significantly disabled on recovery. Recovery is slow in most cases and eventual disability is difficult to predict, especially early in the disease. Blood or cerebrospinal fluid (CSF) biomarkers ... Read more >>

J Neuroinflammation (Journal of neuroinflammation)
[2020, 17(1):86]

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The effectiveness and safety of acupuncture therapy for Guillain-Barré syndrome: A systematic review and meta-analysis protocol.

Zhu Fan, Biyuan Liu, Yili Zhang, Man Li, Tao Lu,

BACKGROUND:Guillain-Barré syndrome (GBS) is the most common acute paralytic neuropathy. Many clinical trials indicate acupuncture provides a good effect as a complementary therapy of Western medicine for GBS. The objective of this systematic review protocol is to provide the evidence to evaluate the effectiveness and safety of acupuncture on the ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(2):e18619]

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Cytotoxic Immunity in Peripheral Nerve Injury and Pain.

Alexander J Davies, Simon Rinaldi, Michael Costigan, Seog Bae Oh,

Cytotoxicity and consequent cell death pathways are a critical component of the immune response to infection, disease or injury. While numerous examples of inflammation causing neuronal sensitization and pain have been described, there is a growing appreciation of the role of cytotoxic immunity in response to painful nerve injury. In ... Read more >>

Front Neurosci (Frontiers in neuroscience)
[2020, 14:142]

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7T MR neurography-ultrasound fusion for peripheral nerve imaging.

Stefanie Schreiber, Frank Schreiber, Alica Peter, Eser Isler, Marc Dörner, Hans-Jochen Heinze, Suanne Petri, Claus Tempelmann, Peter J Nestor, Alexander Grimm, Stefan Vielhaber,

BACKGROUND:We present one patient with an initial diagnosis of Guillain-Barré syndrome (GBS) and one with Charcot-Marie-Tooth disease (CMT) type 1A. METHODS:Both patients underwent ankle tibial nerve fusion-imaging of high-resolution ultrasound (HRUS) with 7T MR neurography (MRN). RESULTS:In GBS, the nerve was enlarged, T2-hyperintense, and showed increased vascularization 21 months after symptom ... Read more >>

Muscle Nerve (Muscle & nerve)
[2020, 61(4):521-526]

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N2 year in review.

Josep Dalmau, Marinos C Dalakas, Dennis L Kolson, Friedemann Paul, Scott S Zamvil,

Neurol Neuroimmunol Neuroinflamm (Neurology(R) neuroimmunology & neuroinflammation)
[2020, 7(1):]

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Serum CXCL13 reflects local B-cell mediated inflammatory demyelinating peripheral neuropathy.

Young Hee Kim, So Young Jang, Yoon Kyung Shin, Young Rae Jo, Byeol-A Yoon, Soo Hyun Nam, Byung-Ok Choi, Ha Young Shin, Seung Woo Kim, Se Hoon Kim, Jong Kuk Kim, Hwan Tae Park,

Immune damages on the peripheral myelin sheath under pro-inflammatory milieu result in primary demyelination in inflammatory demyelinating neuropathy. Inflammatory cytokines implicating in the pathogenesis of inflammatory demyelinating neuropathy have been used for the development of potential biomarkers for the diagnosis of the diseases. In this study, we have found that ... Read more >>

Sci Rep (Scientific reports)
[2019, 9(1):16535]

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Associations between HLA and autoimmune neurological diseases with autoantibodies.

Sergio Muñiz-Castrillo, Alberto Vogrig, Jérôme Honnorat,

Recently, several autoimmune neurological diseases have been defined by the presence of autoantibodies against different antigens of the nervous system. These autoantibodies have been demonstrated to be specific and useful biomarkers, and most of them are also pathogenic. These aspects have increased the value of autoantibodies in neurological practice, as ... Read more >>

Auto Immun Highlights (Autoimmunity Highlights)
[2020, 11(1):2]

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