PMID- 15663537 OWN - NLM STAT- MEDLINE DCOM- 20050218 LR - 20220414 IS - 1744-9979 (Print) IS - 1744-9979 (Linking) VI - 8 IP - 5 DP - 2004 Oct TI - Plasmapheresis treatment in Guillain-Barre syndrome: potential benefit over IVIg in patients with axonal involvement. PG - 409-12 AB - Response to therapeutic plasma exchange (TPE) was evaluated in patients diagnosed with Guillain-Barre Syndrome (GBS). Our aim was to assess response to TPE in patients who had failed treatment with intravenous immune globulin (IVIg). We conducted a retrospective chart review of 10 patients with the diagnosis of Guillain-Barre Syndrome who required TPE. Patients were identified by reviewing data from log books for TPE at The University of Connecticut Health Center, Farmington CT, USA. Patients who had failed IVIg treatment prior to being referred for TPE were also identified. Eight out of 10 patients treated with TPE showed improvement in their neurological exam. Four patients had axonal involvement on electromyelogram (EMG). Three patients were referred for TPE after failing IVIg treatment. All three of these had axonal involvement on EMG. Three of the four patients with axonal involvement demonstrated improvement with TPE. TPE may be a superior treatment option as compared to IVIg in patients with GBS and EMG findings of axonal involvement. FAU - Dada, Mohammed Atiq AU - Dada MA AD - Division of Nephrology, University of Connecticut Health Center, Farmington, CT 06032-1405, USA. FAU - Kaplan, Andre A AU - Kaplan AA LA - eng PT - Journal Article PL - Australia TA - Ther Apher Dial JT - Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy JID - 101181252 RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Axons/physiology MH - Guillain-Barre Syndrome/physiopathology/*therapy MH - Humans MH - Immunoglobulins, Intravenous/*therapeutic use MH - *Plasma Exchange MH - *Plasmapheresis MH - Retreatment MH - Retrospective Studies MH - Treatment Failure EDAT- 2005/01/25 09:00 MHDA- 2005/02/19 09:00 CRDT- 2005/01/25 09:00 PHST- 2005/01/25 09:00 [pubmed] PHST- 2005/02/19 09:00 [medline] PHST- 2005/01/25 09:00 [entrez] AID - TAP183 [pii] AID - 10.1111/j.1526-0968.2004.00183.x [doi] PST - ppublish SO - Ther Apher Dial. 2004 Oct;8(5):409-12. doi: 10.1111/j.1526-0968.2004.00183.x.