Guillain-Barre Syndrome


Book Description

Guillain-Barre Syndrome (GBS) is a disorder in which the body's immune system attacks part of the peripheral nervous system. Feelings of tingling and weakness increase in intensity until the muscles cannot be used at all and the patient is almost totally paralyzed. No one knows why Guillain-Barre strikes some people and not others, or what sets the disease in motion. What we do know is that GBS is now the most common cause of acute paralysis in Western countries since the virtual elimination of poliomyelitis with vaccination programs. Guillain-Barre Syndrome, co-authored by a survivor of this illness, addresses all aspects of this condition, including initial symptoms, diagnostic evaluation and criteria, general and illness specific treatments, and typical outcomes. Fortunately, most GBS patients have a good recovery, but the pathway to this goal can be slow and scary. This book covers a wide range of issues including: Features unique to GBS such as pain without injury and other abnormal sensations Workplace adjustment with incomplete recovery Intensive care unit management Practical caregivers guidelines The rehabilitation process Sexual dysfunction, and much more Guillain-Barre Syndrome is a comprehensive book, written in lay terms, covering everything from diagnosis to emotional issues. It is a book that stands alone. This latest volume in the American Academy of Neurology Press Quality of Life Guide series is an essential tool for all individuals, families, and caregivers coping with Guillain-Barre Syndrome.




The Practice of Emergency and Critical Care Neurology


Book Description

Fully updated and revised, the second edition of The Practice of Emergency and Critical Care Neurology puts a more modern approach on the practice of emergency neurological care. When most texts within the field focus on the theoretical aspects, this book concentrates on the management of neurologic conditions, recognition of deterioration of neurologic functions, neurosurgical procedures, and immediate interventions. This text also presents hard data to explain why we do what we do. Dr. Wijdicks condenses essential information into several sections comprising of the principles in recognizing critically ill neurologic patients in the emergency department, the evaluation of symptoms indicating critical emergency, general principles of managing critically ill patients, monitoring devices and diagnostic tests, complete management of specific disorders in the neurosciences intensive care unit, postoperative neurosurgical and neurointerventional complications, management of medical complications, and end of life care. Key Features of the New Edition include 1. Additional chapters on critical consults in surgical and medical ICUs, critical care management, and comprehensive monitoring and biomarkers to reflect new research; 2. Rich illustrations using color photos of patients and drawings of important basic concepts of mechanism of acute neurologic disease; 3. Fully updated and comprehensive reference list; 4. A pocket book of selected tables and figures covering all essential points for quick reference and as a survival guide for house staff. This is the go-to guide for every physician, staff neurologist, neurointensivist, resident, and fellow in training with managing acutely ill neurologic patients.




Neuromuscular Case Studies E-Book


Book Description

In this unique book, Dr. Bertorini guides you through more than 100 cases that demonstrate the diagnosis and management of a wide range of common and rare neuromuscular disorders. No other reference boasts such a large array of clinical studies devoted to all areas of this broad topic! Each case study reviews the etiologies, pathogenesis, differential diagnosis, and management of a particular disorder, helping you not only recognize its presentation, but also determine a diagnosis and the best treatment plans for your patients. You’ll also find expert guidance on the basic mechanisms of neuromuscular disorders, clinical examination, and diagnostic tests—including EMG, muscle biopsy, genetic testing, and more. More than 100 detailed case studies explore both common and rare neuromuscular disorders and the treatment protocols for each, equipping you with the knowledge you need to confidently manage any challenge. Each case includes a summary of important points or highlights of the study. Case studies are arranged either by complaint or by diagnosis so that you can successfully manage your patients with or without an initial diagnosis. Comprehensive coverage of EMGs and nerve conduction studies and other diagnostic tests, including muscle and nerve biopsies and genetic testing, helps you accurately diagnose nerve, muscle, and neuromuscular transmission disorders. Detailed discussions of treatment plans and commonly used drugs enhance your management of autoimmune disorders, painful neuropathy, dysautonomia, and other neuromuscular disorders. A reader-friendly format takes you step by step through the diagnosis and treatment of neuromuscular disorders, from the basic anatomy and physiology of the nerve and muscle through to clinical evaluation, diagnostic testing, and therapy. More than 350 high-quality illustrations, including full-color patient photographs, biopsies, and EMG tracings, make complex concepts easier to understand and apply.




Guillain-Barré Syndrome


Book Description

The period that followed World War II has witnessed a dramatic change in neurology. From being a discipline in which its partici pants were castigated for being interested solely in diagnosis, usually of disorders of unknown causation without effective therapy, neurology has evolved into a highly active treatment orientated subject. This transition is clearly reflected in the ap proach to diseases of the peripheral nervous system, and to the Guillain-Barre syndrome (GBS) in particular. In a state-of-the art review made in 1952, Elkington (1952) observed that no less than 56% of neuropathies remained undiagnosed, and amongst those of unknown causation he listed GBS. With intensive in vestigation and follow-up, the proportion of neuropathies seen at tertiary referral centres which elude diagnosis is now as little as 13% (McLeod et al. 1984). Overall, of course, the proportion is even less. This change is partly because of the introduction of new diagnostic techniques and partly because of the application of the great expansion in knowledge evident throughout medicine. In this book, Professor Richard Hughes has assembled current information on GBS and related disorders, including chronic in flammatory demyelinating polyneuropathy (CIDP), the existence of which was not appreciated until Austin's perspicacious study published in 1958. In the Introduction, Professor Hughes gives an account of the way in which recognition of the GBS emerged and matured, and shows that it followed, pari passu, with the realisation that paral ysis and sensory loss may result from peripheral nerve disorders.




A First Step - Understanding Guillain-Barre Syndrome


Book Description

Part one of A First Step - Understanding Guillain-Barr Syndrome is a true, blow-by-blow account of the Author's encounter, as a healthy Canadian businessman, with a rare and devastating disease, Guillain-Barr Syndrome (G.B.S. for short). It describes his seven-month long struggle for life in 'Intensive Care' after receiving a grim prognosis, and his subsequent dogged determination to overcome the effects of that disease. The second part is devoted to short stories based on dreams and hallucinations experienced whilst he was in 'Intensive Care', which in themselves reveal something of what a patient was going through. They also serve to illustrate the narrow boundary between reality and the dream world, and which whilst making for entertaining reading, could possibly be the subject of further study. Although the Author is a layperson, in medical terms, it is believed this book will be an important aid to medical professionals and care-givers, providing as it does, new insights and a unique perspective on the effects, not only of the disease, Guillain-Barr Syndrome, but also of the handling and care of any long-term intensive care patient, and their subsequent rehabilitation. For the curious, it will answer many questions. For G.B.S. patients and their families it should provide inspirational reading. The foreword to the book has been written by Dr Frank Warshawski, MD, FRCPC, Director of Intensive Care, Rockyview General Hospital, Calgary. In addition to that prestigious involvement, the Author has been fortunate in receiving permission to use other material authored by exceptionally well qualified medical professionals, for which due credit is given in the 'Acknowledgements' section of the book, enabling him to produce not only an interesting publication, but an informative and educational one. In short, a 'must read' and deserving of a place on any medical bookshelf.




Learning to Walk Again


Book Description

Guillain Barre Syndrome is strange combination of symptoms that includes paralysis in varying degrees. It strikes men and women, young and old. Often the primary care physician has difficulty diagnosing a GBS patient. After the symptoms have peaked and recovery has begun, patients expect to regain their old routines. However, many find their lives have changed in some way. A quest for information and a need to be connected with other GBS patients led Ann Brandt to walk a different path, away from community college teaching and toward writing and liaison work with other GBS patients. Patients need to feel connected with others. They are hungry for information about others’ experiences with the disease. Read how a sense of humor, faith in God, and a stubborn nature can work in recovery.




Neuromuscular Disorders in Clinical Practice


Book Description

Comprehensive, thoroughly updated, and expanded, Neuromuscular Disorders in Clinical Practice, Second Edition encompasses all disorders of the peripheral nervous system, covering all aspects of neuromuscular diseases from diagnosis to treatment. Mirroring the first book, this two-volume edition is divided into two parts. Part one discusses the approach to neuromuscular disorders, covering principles and basics, neuromuscular investigations, and assessment and treatment of neurological disorders. Part two then addresses the complete range of specific neuromuscular diseases: neuronopathies, peripheral neuropathies, neuromuscular junction disorders, muscle ion channel disorders, myopathies, and miscellaneous neuromuscular disorders and syndromes. Neuromuscular Disorders in Clinical Practice, Second Edition is intended to serve as a comprehensive text for both novice and experienced practitioners. General neurologists as well as specialists in neuromuscular medicine and trainees in neuromuscular medicine, clinical neurophysiology and electromyography should find this book inclusive, comprehensive, practical and highly clinically focused. Additionally, specialists in physical medicine and rehabilitation, rheumatology, neurosurgery, and orthopedics will find the book of great value in their practice.




Guillain-Barré Syndrome


Book Description

This book is about three people from different walks of life, each of whom experienced a life-changing episode of Guillain-Barré Syndrome. Three dramatic stories in one. Firstly, a story of the Author's remarkable almost complete recovery following his encounter with the syndrome. It is a frank and personal account of his struggle to regain much of what he had lost in bodily function during one year of hospitalisation. It should provide inspiration and possibly answer so many questions typically asked by others afflicted with this syndrome. Secondly, case studies written by two co-author contributors, one a Calgary Veterinarian and mother of two, the other a retired Vancouver resident who was struck with Guillain-Barré Syndrome whilst shopping for a boat in England. "There is no single answer to the question as to how life may change after recovery from this disorder. Each case appears to be unique. That is why I have chosen to include, not just a record of my partial recovery, but also the recovery record of two additional people, each different from one another's and each certainly different from mine (Author's Preface)". "We eventually identified a boat—only three feet short of what we had wanted— that was within our budget. At this point Heather's brother, who lived nearby, said he would like a share in the boat, to which we agreed. During this discussion in his house I had to ask him to refrain from smoking, as my throat was quite sore. I was feeling rather run down and often felt cold. About the same time on a Saturday, I felt a tingling in the finger tips of my left hand and found they were a bit swollen. I mentioned it to Heather, but it did not seem serious. It was, however, the first sign that I had contracted GBS. If only I had known, the treatment might have been started earlier! (Patrick Hill)" "Probably the worst face of Guillain-Barré Syndrome is the effect it has on loved ones. Severe, or not, chronic or not, it matters little to the supporting family at the bedside of a patient. Fear, puzzlement, and apprehension are all experienced by the loved ones. Reading the case histories of Sarah and Patrick, one learns how their spouses also suffered many frightening experiences, but in spite of all that, they remained – obviously without second thought, hesitation or doubt. True to their marriage vows, they provided so much love, care and support. That was the shared experience among the three of us (Author: Epilogue)."




Guillain-Barré Syndrome


Book Description

Guillain-Barre Syndrome (GBS) is a disorder in which the body's immune system attacks part of the peripheral nervous system. Feelings of tingling and weakness increase in intensity until the muscles cannot be used at all and the patient is almost totally paralyzed. No one knows why Guillain-Barre strikes some people and not others, or what sets the disease in motion. What we do know is that GBS is now the most common cause of acute paralysis in Western countries since the virtual elimination of poliomyelitis with vaccination programs. Guillain-Barre Syndrome, co-authored by a survivor of this illness, addresses all aspects of this condition, including initial symptoms, diagnostic evaluation and criteria, general and illness specific treatments, and typical outcomes. Fortunately, most GBS patients have a good recovery, but the pathway to this goal can be slow and scary. This book covers a wide range of issues including: Features unique to GBS such as pain without injury and other abnormal sensations. Workplace adjustment with incomplete recovery Intensive care unit management Practical caregivers guidelines The rehabilitation process Sexual dysfunction, and much more Guillain-Barre Syndrome is a comprehensive book, written in lay terms, covering everything from diagnosis to emotional issues. It is a book that stands alone. This latest volume in the American Academy of Neurology Press Quality of Life Guide series is an essential tool for all individuals, families, and caregivers coping with Guillain-Barre Syndrome.