User menu

Accès à distance ? S'identifier sur le proxy UCLouvain

Guillain-Barré and Miller Fisher syndromes--new diagnostic classification.

Primary tabs

Wakerley, Benjamin R Uncini, Antonino Yuki, Nobuhiro Van den Bergh, Peter [UCL]

Guillain-Barré syndrome (GBS) and its variant, Miller Fisher syndrome (MFS), exist as several clinical subtypes with different neurological features and presentations. Although the typical clinical features of GBS and MFS are well recognized, current classification systems do not comprehensively describe the full spectrum of either syndrome. In this Perspectives article, GBS and MFS are classified on the basis of current understanding of the common pathophysiological profiles of each disease phenotype. GBS is subclassified into classic and localized forms (for example, pharyngeal-cervical-brachial weakness and bifacial weakness with paraesthesias), and MFS is divided into incomplete (for example, acute ophthalmoparesis, acute ataxic neuropathy) and CNS subtypes (Bickerstaff brainstem encephalitis). Diagnostic criteria based on clinical characteristics are suggested for each condition. We believe this approach to be more inclusive than existing systems, and argue that it could facilitate early clinical diagnosis and initiation of appropriate immunotherapy.

Document type Article de périodique (Journal article) – Article de recherche
Publication date 2014
Language Anglais
Journal information "Nature Reviews Neurology" - Vol. 10, no.9, p. 537-544 (2014)
Peer reviewed yes
Publisher Nature Publishing Group ((United Kingdom) London)
issn 1759-4758
e-issn 1759-4766
Publication status Publié
Affiliations UCL - SSS/IONS/NEUR - Clinical Neuroscience
UCL - (SLuc) Service de neurologie
MESH Subject Guillain-Barre Syndrome ; Humans ; Immunotherapy ; Miller Fisher Syndrome
Links
  1. Guillain G., Bull. Mem. Hop. Paris, 40, 1462 (1916)
  2. Guillain G., J. Belge Neurol. Psychiatr., 38, 323 (1938)
  3. Fisher Miller, An Unusual Variant of Acute Idiopathic Polyneuritis (Syndrome of Ophthalmoplegia, Ataxia and Areflexia), 10.1056/nejm195607122550201
  4. Bickerstaff E. R., Brain-stem Encephalitis, 10.1136/bmj.1.5032.1384
  5. Announcements, 10.1002/ana.410030628
  6. Asbury Arthur K., Cornblath David R., Assessment of current diagnostic criteria for Guillain-Barr� syndrome, 10.1002/ana.410270707
  7. Ropper A. H., Unusual Clinical Variants and Signs in Guillain-Barre Syndrome, 10.1001/archneur.1986.00520110044012
  8. Ropper Allan H., Further Regional Variants of Acute Immune Polyneuropathy : Bifacial Weakness or Sixth Nerve Paresis With Paresthesias, Lumbar Polyradiculopathy, and Ataxia With Pharyngeal-Cervical-Brachial Weakness, 10.1001/archneur.1994.00540190051014
  9. van der Meché F.G.A., van Doorn P.A., Meulstee J., Jennekens F.G.I., Diagnostic and Classification Criteria for the Guillain-Barré Syndrome, 10.1159/000052111
  10. Sejvar James J., Kohl Katrin S., Gidudu Jane, Amato Anthony, Bakshi Nandini, Baxter Roger, Burwen Dale R., Cornblath David R., Cleerbout Jan, Edwards Kathryn M., Heininger Ulrich, Hughes Richard, Khuri-Bulos Najwa, Korinthenberg Rudolf, Law Barbara J., Munro Ursula, Maltezou Helena C., Nell Patricia, Oleske James, Sparks Robert, Velentgas Priscilla, Vermeer Patricia, Wiznitzer Max, Guillain–Barré syndrome and Fisher syndrome: Case definitions and guidelines for collection, analysis, and presentation of immunization safety data, 10.1016/j.vaccine.2010.06.003
  11. Wakerley B. R., Yuki N., Pharyngeal-cervical-brachial variant of Guillain-Barre syndrome, 10.1136/jnnp-2013-305397
  12. RICHTER RICHARD B., PRESIDENTIAL ADDRESS : The Ataxic Form of Polyradiculoneuritis (Landry-Guillain-Barré Syndrome), 10.1097/00005072-196204000-00001
  13. Kimoto K., Koga M., Odaka M., Hirata K., Takahashi M., Li J., Gilbert M., Yuki N., Relationship of bacterial strains to clinical syndromes of Campylobacter-associated neuropathies, 10.1212/01.wnl.0000244468.22377.6b
  14. Mizoguchi K, Hase A, Obi T, Matsuoka H, Takatsu M, Nishimura Y, Irie F, Seyama Y, Hirabayashi Y, Two species of antiganglioside antibodies in a patient with a pharyngeal-cervical-brachial variant of Guillain-Barre syndrome., 10.1136/jnnp.57.9.1121
  15. Miura Yumiko, Susuki Keiichiro, Yuki Nobuhiro, Ayabe Mitsuyoshi, Shoji Hiroshi, Guillain-Barré Syndrome Presenting Pharyngeal-Cervical-Brachial Weakness in the Recovery Phase, 10.1159/000064963
  16. Koike Haruki, Atsuta Naoki, Adachi Hiroaki, Iijima Masahiro, Katsuno Masahisa, Yasuda Takeshi, Fukada Yasuyo, Yasui Kenichi, Nakashima Kenji, Horiuchi Masahiro, Shiomi Kazutaka, Fukui Kazuhito, Takashima Shutaro, Morita Yukari, Kuniyoshi Kazumasa, Hasegawa Yasuhiro, Toribe Yasuhisa, Kajiura Mitsugu, Takeshita Saoko, Mukai Eiichiro, Sobue Gen, Clinicopathological features of acute autonomic and sensory neuropathy, 10.1093/brain/awq214
  17. Koike Haruki, Hashimoto Rina, Tomita Minoru, Kawagashira Yuichi, Iijima Masahiro, Koyano Shigeru, Momoo Takayuki, Yuasa Hiroyuki, Mitake Shigehisa, Higashihara Mana, Kaida Kenichi, Yamamoto Daisuke, Hisahara Shin, Shimohama Shun, Nakae Yoshiharu, Johkura Ken, Vernino Steven, Sobue Gen, The spectrum of clinicopathological features in pure autonomic neuropathy, 10.1007/s00415-012-6458-x
  18. Ohyama Ken, Koike Haruki, Masuda Michihito, Sone Jun, Hashimoto Rina, Tomita Minoru, Kawagashira Yuichi, Iijima Masahiro, Nakamura Tomohiko, Watanabe Hirohisa, Sobue Gen, Autonomic manifestations in acute sensory ataxic neuropathy: A case report, 10.1016/j.autneu.2013.03.009
  19. Uncini Antonino, Yuki Nobuhiro, Sensory Guillain-Barré syndrome and related disorders: An attempt at systematization, 10.1002/mus.22298
  20. Pan C.-L., Yuki N., Koga M., Chiang M.-C., Hsieh S.-T., Acute sensory ataxic neuropathy associated with monospecific anti-GD1b IgG antibody, 10.1212/wnl.57.7.1316
  21. Yuki Nobuhiro, Odaka Masaaki, Hirata Koichi, Acute ophthalmoparesis (without ataxia) associated with anti-GQ1b IgG antibody, 10.1016/s0161-6420(00)00420-6
  22. Kokubun N., Nishibayashi M., Uncini A., Odaka M., Hirata K., Yuki N., Conduction block in acute motor axonal neuropathy, 10.1093/brain/awq260
  23. Arai Motomi, Susuki Keiichiro, Koga Michiaki, Axonal pharyngeal-cervical-brachial variant of Guillain-Barré syndrome without Anti-GT1a IgG antibody : Axonal PCB Variant of GBS, 10.1002/mus.10424
  24. Nagashima Takahide, Kokubun Norito, Shahrizaila Nortina, Funakoshi Kei, Hirata Koichi, Yuki Nobuhiro, Paraparetic Guillain-Barré syndrome: Extending the axonal spectrum, 10.1111/ncn3.59
  25. Umapathi Thirugnanam, Tan Eyok Yian, Kokubun Norito, Verma Kamal, Yuki Nobuhiro, Non-demyelinating, reversible conduction failure in Fisher syndrome and related disorders, 10.1136/jnnp-2012-303079
  26. Susuki Keiichiro, Koga Michiaki, Hirata Koichi, Isogai Emiko, Yuki Nobuhiro, A Guillain-Barré syndrome variant with prominent facial diplegia, 10.1007/s00415-009-5254-8
  27. Uncini Antonino, Susuki Keiichiro, Yuki Nobuhiro, Nodo-paranodopathy: Beyond the demyelinating and axonal classification in anti-ganglioside antibody-mediated neuropathies, 10.1016/j.clinph.2013.03.025
  28. Shahrizaila N., Yuki N., Bickerstaff brainstem encephalitis and Fisher syndrome: anti-GQ1b antibody syndrome, 10.1136/jnnp-2012-302824
  29. Ito M., Kuwabara S., Odaka M., Misawa S., Koga M., Hirata K., Yuki* N., Bickerstaff's brainstem encephalitis and Fisher syndrome form a continuous spectrum : Clinical analysis of 581 cases, 10.1007/s00415-008-0775-0
  30. Chiba A., Kusunoki S., Obata H., Machinami R., Kanazawa I., Serum anti-GQ1b IgG antibody is associated with ophthalmoplegia in Miller Fisher syndrome and Guillain-Barre syndrome: Clinical and immunohistochemical studies, 10.1212/wnl.43.10.1911
  31. Liu Jing-Xia, Willison Hugh J., Pedrosa-Domello¨f Fatima, Immunolocalization of GQ1b and Related Gangliosides in Human Extraocular Neuromuscular Junctions and Muscle Spindles, 10.1167/iovs.08-3333
  32. Ito M., Matsuno K., Sakumoto Y., Hirata K., Yuki N., Ataxic Guillain-Barre syndrome and acute sensory ataxic neuropathy form a continuous spectrum, 10.1136/jnnp.2010.222836
  33. Jindal Geetanjali, Parmar Veena R., Gupta Vipul K., Isolated Ptosis as Acute Ophthalmoplegia Without Ataxia, Positive for Anti-GQ1b Immunoglobulin G, 10.1016/j.pediatrneurol.2009.07.008
  34. Yuki N., Koga M., Hirata K., Isolated internal ophthalmoplegia associated with immunoglobulin G anti-GQ1b antibody, 10.1212/wnl.51.5.1515-b
  35. Yuki N., Susuki K., Hirata K., Ataxic Guillain-Barre syndrome with anti-GQ1b antibody: Relation to Miller Fisher syndrome, 10.1212/wnl.54.9.1851
  36. Yuki Nobuhiro, Uncini Antonino, Acute and chronic ataxic neuropathies with disialosyl antibodies: A continuous clinical spectrum and a common pathophysiological mechanism : Ataxic Neuropathies with Disialosyl Antibodies, 10.1002/mus.24192
  37. Notturno Francesca, Caporale Christina M., Uncini Antonino, Acute sensory ataxic neuropathy with antibodies to GD1b and GQ1b gangliosides and prompt recovery, 10.1002/mus.20875
  38. Willison H. J., Almemar A., Veitch J., Thrush D., Acute ataxic neuropathy with cross-reactive antibodies to GDlb and GD3 gangliosides, 10.1212/wnl.44.12.2395
  39. Koga M, Anti-GT1a IgG in Guillain-Barre syndrome, 10.1136/jnnp.72.6.767
  40. Nagashima Takahide, Koga Michiaki, Odaka Masaaki, Hirata Koichi, Yuki Nobuhiro, Continuous Spectrum of Pharyngeal-Cervical-Brachial Variant of Guillain-Barré Syndrome, 10.1001/archneur.64.10.1519
  41. O'Leary C P, Veitch J, Durward W F, Thomas A M, Rees J H, Willison H J, Acute oropharyngeal palsy is associated with antibodies to GQ1b and GT1a gangliosides., 10.1136/jnnp.61.6.649
  42. Ogawara Kazue, Kuwabara Satoshi, Mori Masahiro, Hattori Takamichi, Koga Michiaki, Yuki Nobuhiro, Axonal Guillain-Barr� syndrome: Relation to anti-ganglioside antibodies andCampylobacter jejuni infection in Japan, 10.1002/1531-8249(200010)48:4<624::aid-ana9>3.0.co;2-o
  43. McKhann G. M., Cornblath D. R., Griffin J. W., Ho T. W., Li C. Y., Jiang Z., Wu H. S., Zhaori G., Liu Y., Jou L. P., Liu T. C., Gao C. Y., Mao J. Y., Blaser M. J., Mishu B., Asbury A. K., Acute motor axonal neuropathy: A frequent cause of acute flaccid paralysis in China, 10.1002/ana.410330402
  44. Yuki Nobuhiro, Kokubun Norito, Kuwabara Satoshi, Sekiguchi Yukari, Ito Masafumi, Odaka Masaaki, Hirata Koichi, Notturno Francesca, Uncini Antonino, Guillain–Barré syndrome associated with normal or exaggerated tendon reflexes, 10.1007/s00415-011-6330-4
  45. Jackson Carlayne E., Acute Paralytic Syndrome in Three American Men : Comparison With Chinese Cases, 10.1001/archneur.1993.00540070050014
  46. Yuki Nobuhiro, Hirata Koichi, Preserved Tendon Reflexes inCampylobacter Neuropathy, 10.1002/ana.410430424
  47. Kuwabara Satoshi, Nakata Miho, Sung Jia-Ying, Mori Masahiro, Kato Naoko, Hattori Takamichi, Koga Michiaki, Yuki Nobuhiro, Hyperreflexia in axonal Guillain–Barré syndrome subsequent to Campylobacter jejuni enteritis, 10.1016/s0022-510x(02)00088-6
  48. Fokke C., van den Berg B., Drenthen J., Walgaard C., van Doorn P. A., Jacobs B. C., Diagnosis of Guillain-Barre syndrome and validation of Brighton criteria, 10.1093/brain/awt285
  49. Baheti NeerajN, Manuel Davis, Shinde PranavD, Radhakrishnan Ashalatha, Nair Muraleedharan, Hyperreflexic Guillain-Barré syndrome, 10.4103/0972-2327.74195
  50. Nishimoto Y., Odaka M., Hirata K., Yuki N., Usefulness of anti-GQ1b IgG antibody testing in Fisher syndrome compared with cerebrospinal fluid examination, 10.1016/j.jneuroim.2003.11.017
  51. Uncini A., Manzoli C., Notturno F., Capasso M., Pitfalls in electrodiagnosis of Guillain-Barre syndrome subtypes, 10.1136/jnnp.2010.208538
  52. , Research criteria for diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP), 10.1212/wnl.41.5.617
  53. J. Peripher. Nerv. Syst., 15, 1 (2010)
  54. Rajabally Y A, Nicolas G, Pieret F, Bouche P, Van den Bergh P Y K, Validity of diagnostic criteria for chronic inflammatory demyelinating polyneuropathy: a multicentre European study, 10.1136/jnnp.2009.179358
  55. Ichikawa H., Kamiya Y., Susuki K., Suzuki M., Yuki N., Kawamura M., Unilateral oculomotor nerve palsy associated with anti-GQ1b IgG antibody, 10.1212/wnl.59.6.957
  56. Logullo F., Manicone M., Di Bella P., Provinciali L., Asymmetric Guillain-Barré syndrome, 10.1007/s10072-006-0710-z
  57. Susuki Keiichiro, Yuki Nobuhiro, Muramatsu Manabu, Hirata Koichi, Unilateral ophthalmoparesis and limb ataxia associated with anti-GQ1b IgG antibody, 10.1007/s004150070139
  58. Ruts L., van Koningsveld R., van Doorn P. A., Distinguishing acute-onset CIDP from Guillain-Barre syndrome with treatment related fluctuations, 10.1212/01.wnl.0000167549.09664.b8
  59. Kuitwaard K, van Koningsveld R, Ruts L, Jacobs B C, van Doorn P A, Recurrent Guillain-Barre syndrome, 10.1136/jnnp.2008.156463
  60. Mossberg N., Nordin M., Movitz C., Nilsson S., Hellstrand K., Bergström T., Andersson B., Andersen O., The recurrent Guillain-Barré syndrome: a long-term population-based study, 10.1111/j.1600-0404.2012.01667.x
  61. Desforges Jane F., Ropper Allan H., The Guillain–Barré Syndrome, 10.1056/nejm199204233261706
  62. Nagashima T., Rinsho Shinkeigaku, 42, 523 (2002)
  63. Bickerstaff E. R., Cloake P. C. P., Mesencephalitis and Rhombencephalitis, 10.1136/bmj.2.4723.77
  64. Odaka Masaaki, Yuki Nobuhiro, Yamada Mitsunori, Koga Michiaki, Takemi Toshihiko, Hirata Koichi , Kuwabara Satoshi, Bickerstaff’s brainstem encephalitis: clinical features of 62 cases and a subgroup associated with Guillain–Barré syndrome, 10.1093/brain/awg233
  65. Wakerley Benjamin R, Soon Derek, Chan Yee-Cheun, Yuki Nobuhiro, Atypical Bickerstaff brainstem encephalitis: ataxic hypersomnolence without ophthalmoplegia, 10.1136/jnnp-2013-304993
  66. Lin Jainn-Jim, Hsia Shao-Hsuan, Wang Huei-Shyong, Lyu Rong-Kuo, Chou Min-Liang, Hung Po-Cheng, Hsieh Meng-Ying, Lin Kuang-Lin, Clinical Variants of Guillain-Barré Syndrome in Children, 10.1016/j.pediatrneurol.2012.05.011
  67. Sakakibara Ryuji, Uchiyama Tomoyuki, Kuwabara Satoshi, Mori Masahiro, Ito Takashi, Yamamoto Tatsuya, Awa Yusuke, Yamaguchi Chiharu, Yuki Nobuhiro, Vernino Steven, Kishi Masahiko, Shirai Kohji, Prevalence and mechanism of bladder dysfunction in Guillain-Barré Syndrome, 10.1002/nau.20663
  68. Yanagihara N., Mori H., Kozawa T., Nakamura K., Kita M., Bell's Palsy: Nonrecurrent v Recurrent and Unilateral v Bilateral, 10.1001/archotol.1984.00800320028006
Bibliographic reference Wakerley, Benjamin R ; Uncini, Antonino ; Yuki, Nobuhiro ; ; ; et. al. Guillain-Barré and Miller Fisher syndromes--new diagnostic classification.. In: Nature Reviews Neurology, Vol. 10, no.9, p. 537-544 (2014)
Permanent URL http://hdl.handle.net/2078.1/157221