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IP Indian Journal of Neurosciences


Study of clinical profile and prognosis in various subtypes of guillain barre syndrome patients


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Author Details: Tarun Kumar Ralot*,Sanjay Parmar,Rohitash Gujar,Shibsankar Sarkar,Hemlata Meghwal

Volume : 4

Issue : 4

Online ISSN : 2581-916X

Print ISSN : 2581-8236

Article First Page : 204

Article End Page : 208


Abstract

Guillain-Barré syndrome is a post infective polyradiculoneuropathy having heterogenous clinical presentation and various subtypes like acute inflammatory demyelinating polyradiculoneuropathy, acute motor-sensory axonal neuropathy, acute motor axonal neuropathy, pure sensory variant and Miller Fisher syndrome. A prospective study was carried out in patients with Guillain-Barré syndrome admitted to the RNT Medical College & attached Hospital to determine the electrophysiological subtypes and their prognosis in relation to various subtypes, clinical features and treatment. A total of 100 patients was enrolled. In the final analysis there were 74% male and the mean age was 30.4 years. Clinically 97% patients had quadriparesis, 2% had paraparesis and one cases had bibrachial involvement. Cranial nerves and respiratory involvement were seen in 25% and 24% cases respectively. Electrophysiologically the most common type of GBS was AIDP (43%) followed by AMAN (34%) and AMSAN (23%). The prognosis was assessed at one month and found that there was complete recovery in 32% cases and residual weakness in 63% cases. Death occurred in 5% cases because of respiratory involvement

Doi :-https://doi.org/10.18231/2455-8451.2018.0047