Guillain-Barré Syndrome in Pregnancy

Luis Pacheco, Antonio Saad, Gary Hankins, Giuseppe Chiosi, George Saade

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Guillain-Barré syndrome has been reported in pregnancy and is a potentially lethal condition. It affects the nervous system with acute onset of symmetric ascending weakness and may result in frank respiratory failure and autonomic dysfunction. Most patients recall symptoms of a respiratory or gastrointestinal illness in the weeks preceding the onset of weakness. Recent evidence suggests a potential role of the Zika virus as a trigger for the syndrome. The diagnosis of Guillain-Barré is clinical. Supportive measures include venous thromboembolism prophylaxis, aggressive physical therapy, pressure ulcer prevention, enteral nutrition, and respiratory support. The mainstay of management comprises plasmapheresis or administration of intravenous immunoglobulins. Affected patients must be closely monitored for development of respiratory failure and autonomic dysfunction. Treatment during pregnancy should follow the same principles as for nonpregnant individuals.

Original languageEnglish (US)
Pages (from-to)1105-1110
Number of pages6
JournalObstetrics and Gynecology
Volume128
Issue number5
DOIs
StatePublished - Nov 1 2016

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Respiratory Insufficiency
Pregnancy
Plasmapheresis
Pressure Ulcer
Intravenous Immunoglobulins
Venous Thromboembolism
Enteral Nutrition
Nervous System
Therapeutics
Zika Virus

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Guillain-Barré Syndrome in Pregnancy. / Pacheco, Luis; Saad, Antonio; Hankins, Gary; Chiosi, Giuseppe; Saade, George.

In: Obstetrics and Gynecology, Vol. 128, No. 5, 01.11.2016, p. 1105-1110.

Research output: Contribution to journalReview article

Pacheco, Luis ; Saad, Antonio ; Hankins, Gary ; Chiosi, Giuseppe ; Saade, George. / Guillain-Barré Syndrome in Pregnancy. In: Obstetrics and Gynecology. 2016 ; Vol. 128, No. 5. pp. 1105-1110.
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