Guillain-Barre syndrome

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Causes

By Mayo Clinic staff

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Illustration showing nerve and damaged myelin sheath 
Nerve and myelin sheath

The exact cause of Guillain-Barre syndrome is unknown. In about 60 percent of cases, an infection affecting either the lungs or the digestive tract precedes the disorder. Recent surgery, immunization and pregnancy have also been associated with Guillain-Barre syndrome. But scientists don't know why such an infection can lead to Guillain-Barre syndrome for some people and not for others. Many cases appear to occur without any triggers.

In Guillain-Barre syndrome, your immune system — which usually attacks only foreign material and invading organisms — begins attacking the nerves that carry signals to your brain. In the most common form of Guillain-Barre syndrome in North America, the nerves' protective covering (myelin sheath) is damaged, and this interferes with the signaling process, causing weakness, numbness or paralysis.

References
  1. Guillain-Barre syndrome. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/gbs/detail_gbs.htm?css=print. Accessed March 10, 2011.
  2. Ferri FF., et al. Guillain-Barre syndrome. In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-05610-6..C2009-0-38600-6--TOP&isbn=978-0-323-05610-6&about=true&uniqId=230100505-53. Accessed March 18, 2011.
  3. Soysal A, et al. Clinico-electrophysiological findings and prognosis of Guillain-Barre syndrome — 10 years' experience. Acta neurologica Scandinavica. 2011;123:181.
  4. Sejvar JJ, et al. Guillain-Barre syndrome and Fisher syndrome: Case definitions and guidelines for collection, analysis, and presentation of immunization safety data. Vaccine. 2011;29:599.
  5. Vriesendorp FJ. Clinical features and diagnosis of Guillain-Barre syndrome in adults. http://www.uptodate.com/home/index.html. Accessed March 10, 2011.
  6. Vriesendorp FJ. Pathogenesis of Guillain-Barre syndrome in adults. http://www.uptodate.com/home/index.html. Accessed March 10, 2011.
  7. Vriesendorp FJ. Treatment and prognosis of Guillain-Barre syndrome in adults. http://www.uptodate.com/home/index.html. Accessed March 10, 2011.
  8. Mauermann ML (expert opinion). Mayo Clinic, Rochester, Minn. March 21, 2011.
DS00413 May 28, 2011

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