Admission neurophysiological abnormalities in Guillain-Barré syndrome: A single-center experience

Marco Luigetti, Serenella Servidei, Anna Modoni, Paolo Maria Rossini, Mario Sabatelli, Mauro Lo Monaco

Research output: Contribution to journalArticle

Abstract

Abstract Objective Although patients with Guillain-Barré syndrome (GBS) are often hospitalized few days after symptoms onset, nerve conduction studies (NCS) abnormalities in early phases of the disease are not well characterized. Our aim was to report early neurophysiological abnormalities from a cohort of GBS patients. Methods In this single-center study, we retrospectively reviewed the NCS data of 71 consecutive GBS patients in whom neurophysiology was performed within two weeks after disease onset. We further divided our cohort in three subgroups according to the interval between disease onset and NCS (≤4 days; 5-7 days; 8-14 days). Results A great proportion of patients (37%) with an early NCS (≤4 days) showed normal neurophysiological results. The most altered parameters were F waves and their proportion increases in correspondence to number of days after onset. Conduction blocks were observed preferentially in upper limbs, in about a third of cases. Conclusion This study confirms that NCS may be normal in the early phases of GBS syndrome and suggests to perform an extensive neurophysiological evaluation in these patients. Significance Our results may help the clinicians in the interpretation of NCS in early-onset GBS.

Original languageEnglish
Article number4059
Pages (from-to)6-10
Number of pages5
JournalClinical Neurology and Neurosurgery
Volume135
DOIs
Publication statusPublished - Aug 1 2015

Keywords

  • Acute polyneuropathy
  • Conduction blocks
  • Early diagnosis
  • F wave
  • Guillain-Barré syndrome
  • Nerve conduction studies
  • Sural sparing

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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