13,828 results match your criteria: "Acute Inflammatory Demyelinating Polyradiculoneuropathy"

Proposal of a functional prognostic scale in mexican patients with Guillain-Barré syndrome.

Rev Invest Clin

November 2024

Emergency Department, Instituto Nacional de Neurología y Neurocirugía "Dr. Manuel Velasco Suárez", Mexico City, Mexico.

Background: There is currently no prognostic scale for patients with Guillain-Barré syndrome (GBS) in the Mexican population.

Objective: The objective of the study was to examine the factors associated with functional prognosis by proposing short-term and long-term prognostic scales.

Methods: Prospective cohort of patients with GBS at an academic medical center, with neuroconduction study and 6-month follow-up.

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[Epidemiological and clinical aspects of Guilain-Barré syndrome, 2012-2022].

Rev Med Inst Mex Seguro Soc

November 2024

Secretaría de Salud, Instituto Nacional de Neurología y Neurocirugía, Departamento de Epidemiología. Ciudad de México, México.

Article Synopsis
  • Guillain-Barré syndrome (GBS) is an autoimmune disorder that often follows infections and is a major cause of paralysis globally, primarily affecting younger adult males.
  • A study reviewed 477 GBS cases from 2012 to 2022, finding a notable increase in incidence, with many patients experiencing gastrointestinal infections prior to onset and drug addiction being a common comorbidity.
  • The study noted a mortality rate of 2.5%, predominantly in cases of acute motor axonal neuropathy, and the findings correlate with previous research on GBS trends.
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Miller Fisher syndrome (MFS) is a variant of Guillain-Barré syndrome (GBS), where the body's immune system erroneously attacks its own nerves. It typically presents with a triad of symptoms: ataxia, ophthalmoplegia, and areflexia. These symptoms often develop rapidly, usually within a few days after a viral or bacterial infection, most commonly following respiratory or gastrointestinal illnesses.

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miRNA-431-5p enriched in EVs derived from IFN-β stimulated MSCs potently inhibited ZIKV through CD95 downregulation.

Stem Cell Res Ther

November 2024

Department of Orthopedics, Northern Jiangsu People's Hospital, Clinical Teaching Hospital of Medical School, Nanjing University, Yangzhou, China.

Background: Zika virus (ZIKV) primarily spreads through mosquito bites and can lead to microcephaly in infants and Guillain-Barre syndrome in adults. It is noteworthy that ZIKV can persist in the semen of infected males for extended periods and can be sexually transmitted. Infection with ZIKV has severe pathological manifestations on the testicular tissues of male mice, resulting in reduced sperm motility and fertility.

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Guillain-Barre Syndrome (GBS) is a rare but serious neurological disorder characterized by acute flaccid paralysis and areflexia, usually after an infectious disease. This case report describes a previously healthy 9-year-old boy who developed GBS following an acute hepatitis A infection. The patient presented with rapidly progressive weakness, ascending paralysis, and areflexia, confirmed by clinical and electrophysiological findings.

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Article Synopsis
  • This study aimed to evaluate the prognostic value of neurofilament light chain (NfL) in patients with immune-mediated polyradiculoneuropathies (IMPs).
  • Researchers analyzed serum and cerebrospinal fluid from 115 IMP patients, finding that baseline NfL was significantly higher in acute inflammatory axonal polyradiculoneuropathy (AIAP) compared to other IMP forms.
  • The study concluded that elevated sNfL levels correlate with poorer clinical outcomes, suggesting its potential as a predictive tool to help identify high-risk patients needing more tailored treatments.
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Genomic variability in Zika virus in GBS cases in Colombia.

PLoS One

November 2024

Grupo VIREM-Virus Emergentes y Enfermedad, Escuela de Ciencias Básicas, Facultad de Salud, Universidad del Valle, Cali, Valle del Cauca, Colombia.

Article Synopsis
  • - Major instances of Guillain-Barré Syndrome (GBS) were noted during the Zika virus outbreaks from 2014 to 2016, raising questions about why some individuals become more susceptible to GBS following Zika infection.
  • - The study focused on analyzing Zika virus (ZIKV) genotypes from urine samples of GBS patients and controls during the 2016 outbreak in Colombia, using advanced genome sequencing techniques.
  • - Results showed no significant genetic differences between ZIKV strains in GBS cases and those without neurological issues, indicating that GBS may be linked more to patient-specific factors rather than specific ZIKV mutations.
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Oropouche Virus: An Emerging Neuroinvasive Arbovirus.

Ann Neurol

November 2024

Neuroinfectious Diseases Group, Department of Neurology, and Department of Medicine and Immunology-Microbiology, University of Colorado School of Medicine, Aurora, CO.

Article Synopsis
  • - Oropouche virus (OROV) is an emerging arbovirus found in parts of South and Central America, the Caribbean, and is now being reported in Cuba, the US, and Europe, primarily transmitted between certain animals and mosquitoes to humans.
  • - It causes flu-like symptoms in about 60% of infections, can have a biphasic course leading to symptom recurrence, and poses risks of vertical transmission that might affect pregnancies and fetal development.
  • - Diagnosis involves detecting the virus or antibodies in blood or cerebrospinal fluid, with no antiviral treatments or vaccines currently available, making mosquito bite prevention essential for control.
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Background: Timely diagnosis of acute flaccid paralysis is very crucial in developing countries like Pakistan, because this will have significant impact on management.

Aim: To assess the surveillance, aetiology and epidemiology of acute flaccid paralysis in a tertiary care hospital in Peshawar, Pakistan.

Methods: This retrospective, observational study was conducted at the Paediatric Department of Lady Reading Hospital, Peshawar, in 2022.

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Background: Guillain-Barré syndrome (GBS) is a rare autoimmune disease that affects the peripheral nervous system. It is characterized by the destruction of nerves involved in movement. This condition can lead to transient pain, changes in temperature and touch sensations, muscle weakness, loss of sensation in the legs and/or arms, and difficulty swallowing or breathing.

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Autoantibodies Against Dihydrolipoamide S-Acetyltransferase Are Not Associated With Immune-Mediated Neuropathies.

Neurol Neuroimmunol Neuroinflamm

January 2025

From the Department of Immunology (A.J.), CHU Montpellier; Institut de Génomique Fonctionnelle (A.J., J.E.-B., G.T., J.D.), Université de Montpellier, CNRS, INSERM; and Department of Neurology (G.T.), CHU Montpellier, France.

Objectives: Dihydrolipoamide S-acetyltransferase (DLAT), the E2 component of the mitochondrial pyruvate dehydrogenase complex (PDC-E2), has recently been suggested to be a biomarker of chronic inflammatory demyelinating polyneuropathy (CIDP). It was particularly associated with sensory variants of CIDP. Antimitochondrial antibodies are important for the diagnosis of primary biliary cholangitis, but insofar, only 2 studies have reported an association with CIDP.

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Autoantibodies in neuromuscular disorders: a review of their utility in clinical practice.

Front Neurol

November 2024

Department of Clinical Neurosciences, Nerve-Muscle Unit, Service of Neurology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.

A great proportion of neuromuscular diseases are immune-mediated, included myasthenia gravis, Lambert-Eaton myasthenic syndrome, acute- and chronic-onset autoimmune neuropathies (anti-MAG neuropathy, multifocal motor neuropathy, Guillain-Barré syndromes, chronic inflammatory demyelinating polyradiculoneuropathy, CANDA and autoimmune nodopathies), autoimmune neuronopathies, peripheral nerve hyperexcitability syndromes and idiopathic inflammatory myopathies. The detection of autoantibodies against neuromuscular structures has many diagnostic and therapeutic implications and, over time, allowed a better understanding of the physiopathology of those disorders. In this paper, we will review the main autoantibodies described in neuromuscular diseases and focus on their use in clinical practice.

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Immunoglobulin G4-related spinal pachymeningitis: A case report.

World J Clin Cases

November 2024

Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School, Jeonju 54907, South Korea.

Background: Immunoglobulin G4-related disease (IgG4-RD) is a complex immune-mediated condition that causes fibrotic inflammation in several organs. A significant clinical feature of IgG4-RD is hypertrophic pachymeningitis, which manifests as inflammation of the dura mater in intracranial or spinal regions. Although IgG4-RD can affect multiple areas, the spine is a relatively rare site compared to the more frequent involvement of intracranial structures.

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Emerging Sialylated Class R Lipooligosaccharides in from Seagulls Has the Potential to Trigger Guillain-Barré Syndrome - Yunnan Province, China, 2018-2023.

China CDC Wkly

November 2024

National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.

What Is Already Known About This Topic?: Lipooligosaccharides from () have a mimicry antigen structure with gangliosides, which explains the mechanism by which caused Guillain-Barré syndrome (GBS).

What Is Added By This Report?: All 12 strains with class R LOSs and specific serotypes were isolated from seagulls in south China. These emerging strains had ganglioside-mimicry antigen structures and possessed a high potential for triggering GBS.

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Guillain-Barré syndrome (GBS) is a rare but potentially life-threatening autoimmune disorder affecting the peripheral nervous system. In pediatric patients, early diagnosis and intervention are crucial for improved outcomes. This observational study aimed to evaluate the prognostic value of early nerve conduction studies (NCS) in pediatric patients diagnosed with GBS.

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Sjogren's syndrome is an autoimmune disorder that has a prominent involvement of exocrine glands. Systemic involvement of other organs can also happen. Peripheral nervous system involvement is common and may present as axonal sensory/sensorimotor or demyelinating polyneuropathy, mononeuritis multiplex, ganglionopathy, or cranial neuritis.

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Modeling extrahepatic hepatitis E virus infection in induced human primary neurons.

Proc Natl Acad Sci U S A

November 2024

Department for Molecular and Medical Virology, Institute for Hygiene and Microbiology, Ruhr University Bochum, Bochum 44801, Germany.

Hepatitis E virus (HEV) infections are one of the most common causes of acute viral hepatitis, annually causing over 3 million symptomatic cases and 70,000 deaths worldwide. Historically, HEV was described as a hepatotropic virus, but has recently been associated with various extrahepatic manifestations including neurological disorders such as Guillain-Barré syndrome and neuralgic amyotrophy. However, the underlying pathogenesis of these neurological diseases remains largely unknown.

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LTT-Validity in diagnosis and therapeutical decision making of neuroborreliosis: a prospective dual-centre study.

Infection

November 2024

Department of Neurology, HELIOS Klinikum München-West, Steinerweg 5, 81241, München, Germany.

Objectives: The key objective of this study was to assess the validity of a commercially available in-house Lymphocyte Transformation Test (LTT) as a diagnostic parameter and indicator of disease activity/therapeutic efficacy in the context of Lyme neuroborreliosis (LNB).

Methods: A prospective dual-centre study was conducted from 05/14 - 01/18. With respect to Borrelia-LTT a comparison was made between patients suffering from confirmed acute LNB and patients being affected by inflammatory neurologic diseases, defining the control group: Bell's palsy, viral meningitis, herpes zoster, Guillain-Barré-Syndrome and Encephalomyelitis disseminate.

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Introduction/background: Though CIDP and ATM are both inflammatory disorders of the nervous system with distinct features, they rarely occur together in the same individual.

Case Presentation: A 41-year-old male trader was admitted with 10 10-day history of paraplegia and weakness of upper limbs. The illness started with lower limb paresthesia, weakness of the left leg, then the right leg after 5 days, proceeding to paraplegia, weakness of upper arms, urine retention, and constipation 3 days before presentation.

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Brucellosis, a chronic zoonotic disease with a significant global burden, particularly in endemic areas, can also present as neurobrucellosis, a rare complication. We report a case of polyradiculoneuropathy in a pediatric patient resulting from this uncommon presentation. A 5-year-old girl presented with progressive asymmetric lower limb weakness for two weeks that progressed to a loss of ambulation in four weeks.

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Fatal ascending paralysis after typhoid vaccine: Guillain and Barré's description of the very first case.

Vaccine

December 2024

Professor of Neurology and the History of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905., United States. Electronic address:

Article Synopsis
  • - The study revisits the historical context of Guillain-Barré syndrome (GBS) linked to vaccines, focusing on the first case documented during WWI related to a typhoid vaccine.
  • - A detailed review of a case involving a 31-year-old brigadier revealed that after receiving a typhoid vaccine, he quickly experienced severe muscle weakness leading to respiratory failure, with specific findings in his cerebrospinal fluid.
  • - The case marks the earliest instance of vaccine-associated GBS, highlighting the association, albeit rare, between vaccines and this neurological condition.
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Article Synopsis
  • Patients with chronic immune diseases, like ITP, need to be particularly cautious of GBS/ATM overlap syndrome following a COVID-19 infection.
  • A 65-year-old man with ITP developed symptoms like limb weakness and facial paralysis two weeks post-COVID-19 diagnosis and was diagnosed with GBS/ATM overlap syndrome.
  • After receiving treatment with intravenous immune globulin and other medications, he showed significant improvement and resumed normal activities, even successfully battling a second COVID-19 infection five months later with milder symptoms.
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Article Synopsis
  • * The report discusses instances of GBS where symptoms begin with descending weakness and significant issues like difficulty swallowing and autonomic dysfunction, which may delay proper diagnosis and treatment.
  • * Atypical GBS cases tend to respond slowly to treatments such as intravenous immunoglobulin (IVIG) and plasma exchange, emphasizing the need for a team-based approach to improve patient outcomes.
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