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The period that followed World War II has witnessed a dramatic
change in neurology. From being a discipline in which its partici-
pants were castigated for being interested solely in diagnosis,
usually of disorders of unknown causation without effective
therapy, neurology has evolved into a highly active treatment-
orientated subject. This transition is clearly reflected in the ap-
proach to diseases of the peripheral nervous system, and to the
Guillain-Barre syndrome (GBS) in particular. In a state-of-the- art
review made in 1952, Elkington (1952) observed that no less than
56% of neuropathies remained undiagnosed, and amongst those of
unknown causation he listed GBS. With intensive in- vestigation and
follow-up, the proportion of neuropathies seen at tertiary referral
centres which elude diagnosis is now as little as 13% (McLeod et
al. 1984). Overall, of course, the proportion is even less. This
change is partly because of the introduction of new diagnostic
techniques and partly because of the application of the great
expansion in knowledge evident throughout medicine. In this book,
Professor Richard Hughes has assembled current information on GBS
and related disorders, including chronic in- flammatory
demyelinating polyneuropathy (CIDP), the existence of which was not
appreciated until Austin's perspicacious study published in 1958.
In the Introduction, Professor Hughes gives an account of the way
in which recognition of the GBS emerged and matured, and shows that
it followed, pari passu, with the realisation that paral- ysis and
sensory loss may result from peripheral nerve disorders.
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