Exposure to Exogenous Gangliosides and Guillain-Barré Syndrome

Beghi, Ettore

doi:10.1159/000109777

Cited by 5 publications

(2 citation statements)

References 20 publications

(20 reference statements)

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“…A slightly higher incidence (1.87 per 100,000) was found in the province of Ferrara (which is part of Emilia–Romagna) (12). However, that study was retrospective, it was conducted in a small population and covered a period (1981–1993) during which there was widespread use of gangliosides, which were later suspected of provoking GBS (33).…”

Section: Discussionmentioning

confidence: 99%

Incidence and clinical features of acute inflammatory polyradiculoneuropathy in Lombardy, Italy, 1996

Bogliun

Beghi

2004

Acta Neurol Scand

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Section: Discussionmentioning

confidence: 99%

Incidence and clinical features of acute inflammatory polyradiculoneuropathy in Lombardy, Italy, 1996

Bogliun

Beghi

2004

Acta Neurol Scand

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“…Casecontrol studies have not proved a causal connection but the circumstantial evidence is strong. 49 GBS is such a striking illness that when it occurs after an event such as an immunisation, it tends to be reported either in the medical literature or in the law courts. With the exception of vaccinia, the old fashioned rabies vaccines, which contained myelin components,50 and the 1976 United States swine influenza vaccine,5' the evidence that immunisations trigger GBS is not strong.…”

Section: Diabetic Neuropathiesmentioning

confidence: 99%

Epidemiology of peripheral neuropathy

Hughes¹

1995

Current Opinion in Neurology

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Peripheral neuropathy occurs as a component of several common and many rare diseases. It is heterogenous in aetiology, diverse in pathology, and varied in severity. The term peripheral neuropathy includes symmetric polyneuropathy, single and multiple mononeuropathy, and radiculopathy. Further classification depends on a mixture of phenomenological, pathological, and genetic or other aetiological features. All of these things cause problems for epidemiologists who, without agreed definitions of what constitutes a case, find it difficult to describe patterns of occurrence of disease. Perhaps it is not very surprising that information about the descriptive epidemiology of peripheral neuropathy derived from population based studies is scarce.What data do exist suggest that peripheral neuropathy may be rather commoner than is usually thought. A recent study, carried out in two regions of Italy, estimated the frequency of chronic symmetric symptomatic polyneuropathy in people over the age of 55 years attending general practitioners' surgeries. Probable polyneuropathy was diagnosed if they answered positively to a screening questionnaire for neuropathic symptoms and showed signs compatible with peripheral neuropathy when examined by a neurologist.' Around 8% of people met these diagnostic criteria for polyneuropathy. The commonest condition associated with polyneuropathy was diabetes. This study was not population based; only people already attending their general practitioner were included-a group in whom chronic disease is likely to be overrepresented and who will therefore be at increased risk of neuropathy. Despite this caveat, the rate of polyneuropathy detected was surprisingly high. Two studies of prevalence, one in Bombay2 and the other in Sicily,3 also suggest that peripheral neuropathy is common in the community. Cases were identified by a door to door survey. Those who answered positively to questions about sensory or motor symptoms were examined by a neurologist. In Bombay the prevalence of peripheral neuropathy was 2-4% and the commonest diagnoses were carpal tunnel syndrome and diabetic peripheral neuropathy. In Sicily, 7% of the population responded positively to the initial screening questions. After further investigation, diabetic neuropathy was diagnosed in 0 3% but no details about the frequency of other types of neuropathy were published.Peripheral neuropathies are a disparate group of diseases. Attempts to consider them as a whole emphasise their contribution to the burden of disease and disability in the community, but may obscure interesting epidemiological features that could lead to a better understanding of aetiology. In this review we consider the commoner forms of peripheral neuropathy separately. Diabetic neuropathiesThe neuropathic complications of diabetes mellitus include distal, symmetric, predominantly sensory neuropathy, autonomic neuropathy, asymmetric proximal neuropathy, and cranial and other mononeuropathies. Several of these neuropathic manifestations may coexist in same patient....

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Rehabilitation of Guillain-Barré syndrome

Meythaler

1997

Archives of Physical Medicine and Rehabilitation

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Exposure to Exogenous Gangliosides and Guillain-Barré Syndrome

Cited by 5 publications

References 20 publications

Incidence and clinical features of acute inflammatory polyradiculoneuropathy in Lombardy, Italy, 1996

Incidence and clinical features of acute inflammatory polyradiculoneuropathy in Lombardy, Italy, 1996

Epidemiology of peripheral neuropathy

Rehabilitation of Guillain-Barré syndrome

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