Syndrome of Guillaín-Barré.
Experience in the
INNN. Search of
Factors of the Bad
Prognosis
NOTE: Translated
using software of
translation of
Spanish to English
ABSTRACT:
Objectives:
This article describe the Guillaín-Barré syndrome in a Mexican population.
Materials and Methods: We review the charts of 40 patients admitted
to the National Institute of Neurology and Neurosurgery "Manuel Velásco
Suárez" in México City, and we contact them by telephone in order to know
their current outome. Results: We find pathological antecedents in
62% of patients. The clinical patern was classical in 62.5%. The
functional grade at admission was II in 17.5%, III in 55% and IV in 27.5%.
Electrophisiologic tests showed 72% of secundary axonal dammage, of them,
35% was severe. Twenty-two patients (55%) were admited to the Intensive
Care Unite, with 70% of them requiring mechnical ventilation, and with a
mean admission time of 17.8 days. 22.5% of patientes were treated with
immunoglobulins, 7.5% underwent plasma exchange and 70% did not recive
specific treatment. Average total hospitalization was 31.8 days. The
twelve months outcome was good (Class A) in 77.5%, regular (Class B) in
15%, and bad (Class C) in 7.5%. Conclusions: The electrophysiologic
pattern was directly related with the outcome. This was perhaps the same
situation of the time of admition and later management with the outcome.
The specific treatment and the outcome did not show any correlation. In
the group of Class A patients,
50% were
treated with IG vs 37.5% without treatment and 12.5% with plasma exchange.
Thie study is limited by its retrospestive characteristic and by the lack
of disponibility to specific treatment.
Author:
Ecuadorian
magazine of neurology
