Update on Guillain-Barre Syndrome
Síndrome Guillain-Barré: Un mirada actual
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Guillain-Barré Syndrome is the most common cause of acute, non-traumatic flaccid paralysis in the world. It is a neurological emergency, causing a rapidly progressive polyneuropathy of sudden onset, generally with lower limb and lumbar pain, muscle weakness and paresthesias, progressing into an ascending symmetric paralysis with areflexia. Life-threatening consequences can occur if the respiratory muscles, cranial nerves or components of the autonomic system are compromised. Clinical presentation encompasses seven different subtypes associated with the immune agents involved in its pathophysiology. Diagnosis is based on clinical presentation, with electrophysiological findings comfirming a demyelinating pattern, F wave, and H reflex abnormalities. Cerebrospinal Fluid characteristic findings include albumino-cytological dissociation: an elevated protein level without an increase in cell count.
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