Leonhard, S. E. et al. (2021) Guía basada en la evidencia. Diagnóstico y manejo del síndrome de Guillain-Barré en diez pasos = Evidence based guidelines. Diagnosis and management of Guillain-Barré syndrome in ten steps. Medicina, 81(5), pp. 817-836. (PMID:34633957)
Text
257656.pdf - Published Version Available under License Creative Commons Attribution Non-commercial. 1MB |
Publisher's URL: https://www.medicinabuenosaires.com/indices-de-2020/volumen-81-ano-2021-n5-indice/
Abstract
Guillain-Barré syndrome (GBS) is a rare, but potentially fatal, immune-mediated disease of the peripheral nerves and nerve roots that is usually triggered by infections. The incidence of GBS can therefore increase during outbreaks of infectious diseases, as was seen during the Zika virus epidemics in 2013 in French Polynesia and in 2015 in Latin America. Diagnosis and management of GBS can be complicated as its clinical presentation and disease course are heterogeneous, and no international clinical guidelines are currently available. To support clinicians, especially in the context of an outbreak, we have developed a globally applicable guideline for the diagnosis and management of GBS. The guideline is based on current literature and expert consensus, and has a ten-step structure to facilitate its use in clinical practice. We first provide an introduction to the diagnostic criteria, clinical variants and differential diagnoses of GBS. The ten steps then cover early recognition and diagnosis of GBS, admission to the intensive care unit, treatment indication and selection, monitoring and treatment of disease progression, prediction of clinical course and outcome, and management of complications and sequelae.
Item Type: | Articles |
---|---|
Keywords: | Disease outbreaks, diagnosis, Guillain-Barre Syndrome - diagnosis - epidemiology - therapy, Zika virus Infection - diagnosis - epidemiology - therapy, Zika virus, Guillain-Barré syndrome, management, Incidence, Zika virus, guideline, ascending paralysis, humans. |
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Willison, Professor Hugh |
Authors: | Leonhard, S. E., Mandarakas, M. R., de Assis Aquino Gondim, F., Bateman, K., Brito Ferreira, M. L., Cornblath, D. R., Van Doorn, P. A., Dourado, M. E., Hughes, R. A.C., Islam, B., Kusunoki, S., Pardo, C. A., Reisin, R., Sejvar, J. J., Shahrizaila, N., Soares, C., Umapathi, T., Wang, Y., Yiu, E. M., Willison, H. J., and Jacobs, B. C. |
College/School: | College of Medical Veterinary and Life Sciences > School of Infection & Immunity |
Research Centre: | College of Medical Veterinary and Life Sciences > School of Infection & Immunity > Centre for Immunobiology |
Journal Name: | Medicina |
Publisher: | Fundación Revista Medicina |
ISSN: | 0025-7680 |
ISSN (Online): | 1669-9106 |
Copyright Holders: | Copyright © 2021 The Authors |
First Published: | First published in Medicina 81(5): 817-836 |
Publisher Policy: | Reproduced under a Creative Commons License |
University Staff: Request a correction | Enlighten Editors: Update this record