Demyelinating Guillain-Barré syndrome recurs more frequently than axonal subtypes.

Abstract:

:Guillain-Barré syndrome (GBS) is considered a monophasic disorder yet recurrences occur in up to 6% of patients. We retrospectively studied an Italian-Japanese population of 236 GBS and 73 Miller Fisher syndrome (MFS) patients and searched for factors which may be associated with recurrence. A recurrent patient was defined as having at least two episodes that fulfilled the diagnostic criteria for GBS and MFS with an identifiable recovery after each episode and a minimum of 2months between episodes. Preceding Campylobacter jejuni (C. jejuni) infection and antiganglioside antibodies were also assessed. Seven (3%) recurrent GBS and one (1.4%) recurrent MFS patients were identified. In the individual patient the clinical features during episodes were usually similar varying in severity whereas the preceding infection differed. None of the patients had GBS in one episode and MFS in the recurrence or vice versa. Recurrent GBS patients, compared with monophasic GBS, did not have preceding diarrhea at the first episode and considering the electrophysiological subtypes, acute inflammatory demyelinating polyneuropathies recurred more frequently than axonal GBS (6.5% vs 0.9%, p=0.04). In conclusion in a GBS population with a balanced number of demyelinating and axonal subtypes less frequent diarrhea and demyelination at electrophysiology were associated with recurrence.

journal_name

J Neurol Sci

authors

Notturno F,Kokubun N,Sekiguki Y,Nagashima T,De Lauretis A,Yuki N,Kuwabara S,Uncini A

doi

10.1016/j.jns.2016.02.053

subject

Has Abstract

pub_date

2016-06-15 00:00:00

pages

132-6

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(16)30114-9

journal_volume

365

pub_type

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