Clinical features and outcome in patients with Guillain-Barré syndrome
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616.833-002-009.11-031.1-071 (1)
Neurologie. Neuropatologie. Sistem nervos (971)
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LENTITCHII, Alina, HAIDER, Zeyba, MELNIC, Adrian, SANGHELI, Marina, PLEŞCA, Svetlana, ŞIMON, Victoria. Clinical features and outcome in patients with Guillain-Barré syndrome. In: 7th Congress of the Society of Neurologists Issue of the Republic of Moldova, Ed. 7, 16-18 septembrie 2021, Chişinău. Chişinău: Revista Curier Medical, 2021, Vol.64, p. 30. ISSN 2537-6381 (Online).
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Dublin Core
7th Congress of the Society of Neurologists Issue of the Republic of Moldova
Vol.64, 2021
Congresul "7th Congress of the Society of Neurologists Issue of the Republic of Moldova"
7, Chişinău, Moldova, 16-18 septembrie 2021

Clinical features and outcome in patients with Guillain-Barré syndrome

CZU: 616.833-002-009.11-031.1-071

Pag. 30-30

Lentitchii Alina1, Haider Zeyba1, Melnic Adrian12, Sangheli Marina21, Pleşca Svetlana12, Şimon Victoria1
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Diomid Gherman Institute of Neurology and Neurosurgery
 
Proiecte:
 
Disponibil în IBN: 27 septembrie 2021


Rezumat

Background: Guillain-Barré syndrome (GBS) is a heterogeneous group of autoimmune polyradiculopathies, in which disease biomarkers, and outcome predictors are under continuous research. Material and methods: Thirty-three patients with GBS (12 females/21 males) aged between 24 and 73 years were assessed, using clinical data, Modified ERASMUS GBS Outcome (MEGOS) score and electromyography (EMG). Results: The average age of onset was 52.1 ± 12 years. The mean time period before hospitalization was 15 days. Clinical symptoms at onset were areflexia (24%), paresthesia (25%), weakness in the legs (36%) and arms (22%). 15 patients (45.4%) had cranial nerves involvement, while 11 (33%) developed respiratory failure of which five (15%) required mechanical ventilation. EMG revealed myelinopathy in majority of the patients – 19 (70%), axonopathy – 6 (22%), and axonomyelinopathy – 2 (8%). 27 (81%) patients received plasmapheresis, 2 (6.06%) – plasmapheresis with immunoglobulins, and 6 (18%) received no plasmapheresis due to contraindications. Treatment outcomes were as follows: 29 (88%) patients saw improvement, 2 (6.06%) had stable disease. There were 2 (6.06%) deaths in the cohort. Mean MEGOS was 4.0 ± 2 (male 5.0 ± 2; female 4.0 ± 2). Patients with myelinopathy and axonomyelinopathy had a higher MEGOS. Hospitalization delay and higher MEGOS score correlated with more severe disease evolution. Conclusions: Patients with delayed hospitalization, predominantly men, who had myelinopathy and mixed forms of GBS have a less favorable prognosis of the disease. Increased attention to the onset of symptoms consistent with GBS is needed in order to ensure a prompt diagnosis and hospitalization, as well as specialized treatment.

Cuvinte-cheie
Guillain-Barre syndrome, onset symptoms, Outcome, MEGOS