Sequential Changes and Prognostic Values of Electrophysiological Parameters in Guillain-Barre Syndrome.
- Author:
Seung Hyun KIM
1
;
Seung Bong HONG
;
Kwang Woo LEE
Author Information
1. Department of Neurology, Seoul National University, Korea.
- Publication Type:Original Article
- MeSH:
Ants;
Classification;
Guillain-Barre Syndrome*;
Humans;
Prognosis
- From:Journal of the Korean Neurological Association
1991;9(1):49-56
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The present study was designed to identify the sequential electrophysiological findings ant to determine the prognostic values of electrophysiological and clinical pararneters in patients with Guillain-Barre syndrome (GBS). Severely affected 42 subjects (Grade D,E). Who fulfilled the diagnostic criteria of GBS were selected. Twentynine patients were followed up at least 6 months (range 6-24 months) from the onset of neurologic syrnptorns. We analyzed 83 electrodiagnostic studies from 42 subjects. The sequential electrophysiological abnorrnalities were most marked at 3-4 weeks after the onset. At that time the most significant change was a decrease of CMAP amplitude. By stepwise discriminant analysis of several electrophysiological parameters, the three variables, of CMAP amplitude, distal conduction velocity; and F-wave latency were deterrnined to be significant pararneters. The accuracy of predicting the prognosis at 6 months was 82. 8%, when the classification functions were applied. Nlerefore the findings of early electrophysiological studies would be irnportant in understanding the serial pathophysiological changes and assessing the clinical outcorne of Guillain-Barre syndrorne.
