- Foreword
- Contributors
- 1 General Approach to Pregnancy Care in the Neurologic Patient
- 2 Pregnancy Safety and Termination
- 3 Contraception Options in Neurologic Disease
- 4 Pregnancy Physiology
- 5 Fetal Imaging for the Neurologist
- 6 Prenatal Genetics for Women with Neurology Disease
- 7 Radiation Exposure and Neuroimaging During Pregnancy
- 8 Cognitive Changes in Pregnancy
- 9 Principles of Reproductive Healthcare in Chronic Neurologic Disease
- 10 Immune-mediated Disorders of the Central Nervous System
- 11 Neurologic Infections in Pregnancy
- 12 Headache
- 13 Traumatic Brain Injury and Pregnancy
- 14 Ischemic Stroke Management in Pregnancy
- 15 Hemorrhagic Stroke Management in Pregnancy
- 16 Management of Intracranial Vascular Lesions During Pregnancy
- 17 Cerebral Venous Thrombosis
- 18 Brain Tumors in Pregnancy
- 19 Movement Disorders in Pregnancy
- 20 Pregnancy and Epilepsy
- 21 Seizure Medications Effects on Fetus, Neonate, and Lactation
- 22 Postpartum Care for Women with Epilepsy
- 23 Sleep Disorders and Pregnancy
- 24 Neuromuscular Diseases
- 25 Charcot-Marie-Tooth Disease and Pregnancy
- 26 Guillain-Barré Syndrome and Chronic Inflammatory Demyelinating Polyradiculoneuropathy in Pregnancy
- 27 Entrapment Neuropathy and Pregnancy
- 28 Neurocutaneous Disorders in Pregnancy
- 29 Spinal Cord Injury in Pregnancy
- 30 Inherited Metabolic Diseases (IMDs) and Pregnancy
- 31 Approach to Delivery in the Patient with Neurologic Disease
- 32 Anesthetic Considerations for Neurologic Patients
- 33 Neurologic Complications in Obstetric Anesthesia
- 34 Perinatal Depression in Neurological Disease and Disability
- 35 Breastfeeding in the Context of Neurological Disorders
- Index
(p. 248) Guillain-Barré Syndrome and Chronic Inflammatory Demyelinating Polyradiculoneuropathy in Pregnancy
- Chapter:
- (p. 248) Guillain-Barré Syndrome and Chronic Inflammatory Demyelinating Polyradiculoneuropathy in Pregnancy
- Author(s):
Pariwat Thaisetthawatkul
and Eric Logigian
- DOI:
- 10.1093/med/9780190667351.003.0026
Guillain-Barré syndrome (GBS) and chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) are both immune-mediated diseases of the peripheral nervous system that typically present with symmetric, progressive muscle weakness, areflexia, and sensory symptoms or signs. GBS evolves rapidly with a nadir at 2–4 weeks usually with an antecedent viral illness, while CIDP progresses more slowly over months to years. GBS is sometimes complicated by life-threatening respiratory failure or dysautonomia. Onset of GBS and relapse of CIDP can occur during pregnancy or postpartum. But with appropriate supportive care and immunotherapy, maternal and fetal outcome in both conditions is typically excellent. The exception is fetal outcome in GBS triggered by maternal CMV or Zika infection transmitted to the fetus. Full-term vaginal delivery and regional anesthesia are preferred in maternal GBS and CIDP, but if C-section and general anesthesia are indicated, non-depolarizing agents such as succinylcholine should be avoided.
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- Foreword
- Contributors
- 1 General Approach to Pregnancy Care in the Neurologic Patient
- 2 Pregnancy Safety and Termination
- 3 Contraception Options in Neurologic Disease
- 4 Pregnancy Physiology
- 5 Fetal Imaging for the Neurologist
- 6 Prenatal Genetics for Women with Neurology Disease
- 7 Radiation Exposure and Neuroimaging During Pregnancy
- 8 Cognitive Changes in Pregnancy
- 9 Principles of Reproductive Healthcare in Chronic Neurologic Disease
- 10 Immune-mediated Disorders of the Central Nervous System
- 11 Neurologic Infections in Pregnancy
- 12 Headache
- 13 Traumatic Brain Injury and Pregnancy
- 14 Ischemic Stroke Management in Pregnancy
- 15 Hemorrhagic Stroke Management in Pregnancy
- 16 Management of Intracranial Vascular Lesions During Pregnancy
- 17 Cerebral Venous Thrombosis
- 18 Brain Tumors in Pregnancy
- 19 Movement Disorders in Pregnancy
- 20 Pregnancy and Epilepsy
- 21 Seizure Medications Effects on Fetus, Neonate, and Lactation
- 22 Postpartum Care for Women with Epilepsy
- 23 Sleep Disorders and Pregnancy
- 24 Neuromuscular Diseases
- 25 Charcot-Marie-Tooth Disease and Pregnancy
- 26 Guillain-Barré Syndrome and Chronic Inflammatory Demyelinating Polyradiculoneuropathy in Pregnancy
- 27 Entrapment Neuropathy and Pregnancy
- 28 Neurocutaneous Disorders in Pregnancy
- 29 Spinal Cord Injury in Pregnancy
- 30 Inherited Metabolic Diseases (IMDs) and Pregnancy
- 31 Approach to Delivery in the Patient with Neurologic Disease
- 32 Anesthetic Considerations for Neurologic Patients
- 33 Neurologic Complications in Obstetric Anesthesia
- 34 Perinatal Depression in Neurological Disease and Disability
- 35 Breastfeeding in the Context of Neurological Disorders
- Index