Prediction of Functional Outcome in Axonal Guillain-Barre Syndrome
Annals of Rehabilitation Medicine
; : 481-488, 2016.
Article
en En
| WPRIM
| ID: wpr-217424
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE:
To identify the factors that could predict the functional outcome in patients with the axonal type of Guillain-Barre syndrome (GBS).METHODS:
Two hundred and two GBS patients admitted to our university hospital between 2003 and 2014 were reviewed retrospectively. We defined a good outcome as being "able to walk independently at 1 month after onset" and a poor outcome as being "unable to walk independently at 1 month after onset". We evaluated the factors that differed between the good and poor outcome groups.RESULTS:
Twenty-four patients were classified into the acute motor axonal neuropathy type. There was a statistically significant difference between the good and poor outcome groups in terms of the GBS disability score at admission, and GBS disability score and Medical Research Council sum score at 1 month after admission. In an electrophysiologic analysis, the good outcome group showed greater amplitude of median, ulnar, deep peroneal, and posterior tibial nerve compound muscle action potentials (CMAP) and greater amplitude of median, ulnar, and superficial peroneal sensory nerve action potentials (SNAP) than the poor outcome group.CONCLUSION:
A lower GBS disability score at admission, high amplitude of median, ulnar, deep peroneal, and posterior tibial CMAPs, and high amplitude of median, ulnar, and superficial peroneal SNAPs were associated with being able to walk at 1 month in patients with axonal GBS.Palabras clave
Texto completo:
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Base de datos:
WPRIM
Asunto principal:
Axones
/
Nervio Tibial
/
Potenciales de Acción
/
Estudios Retrospectivos
/
Síndrome de Guillain-Barré
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Annals of Rehabilitation Medicine
Año:
2016
Tipo del documento:
Article