Hi there. Guillain barre is an autoimmune disorder affecting the peripheral nervous system usually triggered by an acute infectious process. Supportive care with essential function monitoring is vital. After respiration, circulation and cardiovascular function have been stabilized, either high dose intravenous immunoglobulins or plasmapheresis used in combination is better than each alone. Therapy is ineffective after 2 weeks from when the first motor symptoms appear. Risk associated with immunoglobulins are hepatitis, renal failure after 5 days of therapy.
Apart from this rehabilitation to regain lost functions like improving daily routine activities brushing, physiotherapist guided training program, speech therapist if tracheostomised.
Recovery usually starts after fourth week from onset. Most of the patients recover within months to a year, about 10% have severe disability if there was axonal damage.
Please correlate with your friend’s details adequately .
His clinician is the best judge about his prognosis.
Take care.
.