Guillain-Barré syndrome (GBS) is a rare neurologic disorder in which the body’s autoimmune response attacks the peripheral nervous system. Peripheral nerves are located outside the brain and spinal cord and are responsible for connecting the central nervous system to other parts of the body, including the eyes, ears, muscles, and blood vessels. Early symptoms include weakness and tingling in the feet and legs, though with time these symptoms can spread to the upper body and become more severe, including paralysis in some cases.

People affected by GBS each year
Approximate number of cases reported each year
Percentage of people who experience a full recovery
The exact cause of GBS is unknown. It is not contagious or inherited. It has been linked to events that stress the immune system and may trigger the disease, such as infections, surgery, or in rare cases, vaccinations. Symptoms often occur in the days and weeks following a gastrointestinal or viral respiratory illness. Some areas of the world have reported a higher incidence of GBS after infection with the Zika virus.
Researchers think that GBS may develop when a virus causes changes to certain cells in the nervous system, prompting the body’s autoimmune response. When the immune system damages these healthy nerves, they cannot transmit signals effectively between the brain and the rest of the body. As a result, muscles are not able to function properly, causing weakness and eventually paralysis in some cases. The brain may also receive fewer or abnormal signals from the body, which can cause unexpected sensations like tingling in the feet and legs.
People can develop GBS at any age, though it affects adults and older people more frequently. It occurs in men and women equally.
Symptoms of GBS can range from very mild cases of brief muscle weakness to almost total paralysis. In some severe cases this can result in the inability to breathe independently.
Initial symptoms usually involve unexplained sensations such as tingling in the feet or hands, which may progress into mild pain in the legs and back. These sensations may disappear or spread before the onset of major symptoms like movement issues or paralysis. As symptoms worsen, people often notice difficulty walking or climbing stairs. Symptoms can also affect the upper body, the muscles responsible for breathing, and muscles in the face.
Most people have the greatest amount of weakness within two weeks after symptoms start. Around 90 percent of people reach the stage of greatest weakness by the third week of illness. Other symptoms can include issues with eye movement and vision, difficulty swallowing or speaking, coordination problems, abnormal heart rate or blood pressure, and digestive or bladder control problems.
A doctor can provide a diagnosis based on a person’s symptoms and the results of clinical and lab testing. They will note whether symptoms affect both sides of the body—a common sign of GBS—when and how symptoms began, and how rapidly symptoms progressed. Doctors may also conduct a neurological exam to test deep tendon reflexes in the legs and arms, as those reflexes are usually lost in cases of GBS.
A nerve conduction velocity (NCV) test allows doctors to evaluate nerve function by measuring the speed at which electrical signals travel through the nerves. People with GBS have a higher amount of protein in their cerebrospinal fluid—the fluid that surrounds the spinal cord and brain—so doctors may also order a lumbar puncture or spinal tap to measure these protein levels.
Severe symptoms can be life-threatening, so it’s important for people with GBS to seek immediate treatment. Because of possible complications, most people with GBS are admitted and treated in a hospital’s intensive care unit. Early treatment can help improve outcomes.
There is no cure for this disease, but 70% of people with GBS fully recover. It can take anywhere from a few weeks to a few years to recover. About 30% of people continue to experience residual weakness after 3 years, and about 15% experience long-term weakness. In severe cases, GBS can cause people to become permanently disabled.
Immunotherapy can help manage GBS, reduce its severity, and shorten recovery time. These therapies include intravenous immunoglobulin (IVIG) and plasma exchange. Both treatments are equally effective if done within two weeks of the start of symptoms.
IVIG therapy involves intravenous injections of antibodies which can help fight the body’s autoimmune response. IVIG works by blocking the immune system’s attack on healthy nerve cells and decreasing inflammation. Plasma exchange is a procedure that removes some of the destructive antibodies from the bloodstream by replacing plasma (the liquid part of the blood) with a protein fluid. This process may reduce the duration and severity of the disease.
Supportive care for GBS can include a breathing tube or ventilator, a heart monitor, or other medical equipment. These help monitor or support a person’s body as they recover and heal. As a person improves, they often move to a rehabilitation setting. Physical therapy and other therapies may be necessary to regain strength and resume daily activities.
Research efforts are focused on expanding and improving treatments for GBS. Scientists are working to better understand the relationship between the immune and nervous systems. Current studies are investigating which immune cells attack the nervous system in GBS, how the immune system damages peripheral nerve cells, and how a viral or bacterial infection may trigger the immune system’s attack. This information could help develop new, more effective treatments for GBS.
New to research? Read our guide, How to Read a Research Study, to learn some tips for reading scientific publications and interpreting results.
NINDS: Guillain-Barré Syndrome Fact Sheet
Johns Hopkins Medicine: Guillain-Barré Syndrome

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