Electrodiagnostic subtyping in Guillain-Barre syndrome patients in the International Guillain-Barre Outcome Study

被引：2

作者：

Arends, Samuel ^{[1
,2
]}

Drenthen, Judith ^{[1
]}

de Koning, Laura ^{[1
]}

van den Bergh, Peter ^{[3
]}

Hadden, Robert D. M. ^{[4
]}

Kuwabara, Satoshi ^{[5
]}

Reisin, Ricardo C. ^{[6
]}

Shahrizaila, Nortina ^{[7
]}

Ajroud-Driss, Senda ^{[8
]}

Antonini, Giovanni ^{[9
]}

Attarian, Shahram ^{[10
]}

Balducci, Claudia ^{[11
]}

Bertorini, Tulio ^{[12
]}

Brannagan, Thomas H. ^{[13
]}

Cavaletti, Guido ^{[11
]}

Chao, Chi-Chao ^{[14
]}

Chavada, Govind ^{[15
]}

Dillmann, Klaus-Ulrich ^{[16
]}

Dimachkie, Mazen M. ^{[17
]}

Galassi, Giuliana ^{[18
]}

Gutierrez-Gutierrez, Gerardo ^{[19
]}

Harbo, Thomas ^{[20
]}

Islam, Badrul ^{[21
]}

Islam, Zhahirul ^{[22
]}

Katzberg, Hans ^{[23
]}

Kusunoki, Susumu ^{[24
]}

Manganelli, Fiore ^{[25
]}

Miller, James A. L. ^{[26
]}

Pardo, Julio ^{[27
]}

Pereon, Yann ^{[28
]}

Rajabally, Yusuf A. ^{[29
]}

Sindrup, Soren ^{[30
]}

Stettner, Mark ^{[31
,32
]}

Uncini, Antonino ^{[33
]}

Verhamme, Camiel ^{[34
]}

Vytopil, Michal ^{[35
]}

Waheed, Waqar ^{[36
]}

Jacobs, Bart C. ^{[1
,37
]}

Cornblath, David R. ^{[38
]}

机构：

[1] Erasmus Univ, Med Ctr, Dept Neurol, Rotterdam, Netherlands

[2] HagaZiekenhuis, Dept Neurol, The Hague, Netherlands

[3] Univ Hosp St Luc, Dept Neurol, Brussels, Belgium

[4] Kings Coll Hosp London, Dept Neurol, London, England

[5] Chiba Univ Hosp, Dept Neurol, Chiba, Japan

[6] Hosp Britanico, Dept Neurol, Buenos Aires, Argentina

[7] Univ Malaya, Dept Neurol, Kuala Lumpur, Malaysia

[8] Northwestern Univ Feinberg, Dept Neurol, Chicago, IL USA

[9] Sapienza Univ, Dept Neurosci Mental Hlth & Sensory Organs NESMOS, Rome, Italy

[10] Hop La Timone, Dept Neuromusc Disorders, Marseille, France

[11] San Gerardo Hosp, Dept Neurol, Monza, Italy

[12] Univ Tennessee, Hlth Sci Ctr, Dept Neurol, Memphis, TN USA

[13] Columbia Univ, Dept Neurol, New York, NY USA

[14] Natl Taiwan Univ Hosp, Dept Neurol, Taipei, Taiwan

[15] Univ Glasgow, Southern Gen Hosp, Dept Neurol, Glasgow G51 4TF, Scotland

[16] Univ Klinikum Saarlandes, Dept Neurol, Homburg, Germany

[17] Univ Kansas, Med Ctr, Dept Neurol, Kansas City, KS 66210 USA

[18] Univ Hosp Modena, Dept Neurol, Modena, Italy

[19] Univ Europea Madrid, Hosp Univ Infanta Sofia, Dept Neurol, San Sebastian De Los Reye, Spain

[20] Aarhus Univ Hosp, Dept Neurol, Aarhus, Denmark

[21] BRB Hosp, Dept Neurol & Neurophysiol, Dhaka, Bangladesh

[22] Int Ctr Diarrhoeal Dis Res Icddr B, Lab Gut Brain Axis, Dhaka, Bangladesh

[23] Univ Toronto, Dept Neurol, Toronto, ON, Canada

[24] Kindai Univ, Dept Neurol, Osaka, Japan

[25] Univ Naples Federico II, Dept Neurosci Reprod Sci & Odontostomatol, Naples, Italy

[26] Royal Victoria Infirm, Dept Neurol, Newcastle Upon Tyne, England

[27] Complejo Hosp Univ Santiago, Dept Neurol, Santiago De Compostela, Spain

[28] Nantes Univ Hosp, Dept Clin Neurophysiol, Nantes, France

[29] Aston Univ, Aston Med Sch, Birmingham, England

[30] Odense Univ Hosp, Dept Neurol, Odense, Denmark

[31] Univ Med Essen, Dept Neurol, Essen, Germany

[32] Univ Med Essen, Ctr Translat Neuro & Behav Sci C TNBS, Essen, Germany

[33] Univ G dAnnunzio, Dept Neurosci Imaging & Clin Sci, Chieti, Italy

[34] Univ Amsterdam, Dept Neurol, Amsterdam Univ Med Ctr, Amsterdam Neurosci, Amsterdam, Netherlands

[35] Lahey Hosp & Med Ctr, Dept Neurol, Burlington, VT USA

[36] Univ Vermont, Med Ctr, Dept Neurol, Burlington, VT USA

[37] Erasmus Univ, Med Ctr, Dept Immunol, Rotterdam, Netherlands

[38] Johns Hopkins Univ, Dept Oncol, Baltimore, MD USA

来源：

EUROPEAN JOURNAL OF NEUROLOGY | 2024年 / 31卷 / 09期

关键词：

amyotrophic lateral sclerosis; electrodiagnosis; Guillain-Barr & eacute; syndrome; nerve conduction studies; polyneuropathy; AMYOTROPHIC-LATERAL-SCLEROSIS; NERVE-CONDUCTION; CRITERIA;

D O I：

10.1111/ene.16335

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and purpose: Various electrodiagnostic criteria have been developed in Guillain-Barr & eacute; syndrome (GBS). Their performance in a broad representation of GBS patients has not been evaluated. Motor conduction data from the International GBS Outcome Study (IGOS) cohort were used to compare two widely used criterion sets and relate these to diagnostic amyotrophic lateral sclerosis criteria. Methods: From the first 1500 patients in IGOS, nerve conduction studies from 1137 (75.8%) were available for the current study. These patients were classified according to nerve conduction studies criteria proposed by Hadden and Rajabally. Results: Of the 1137 studies, 68.3% (N = 777) were classified identically according to criteria by Hadden and Rajabally: 111 (9.8%) axonal, 366 (32.2%) demyelinating, 195 (17.2%) equivocal, 35 (3.1%) inexcitable and 70 (6.2%) normal. Thus, 360 studies (31.7%) were classified differently. The areas of differences were as follows: 155 studies (13.6%) classified as demyelinating by Hadden and axonal by Rajabally; 122 studies (10.7%) classified as demyelinating by Hadden and equivocal by Rajabally; and 75 studies (6.6%) classified as equivocal by Hadden and axonal by Rajabally. Due to more strictly defined cutoffs fewer patients fulfilled demyelinating criteria by Rajabally than by Hadden, making more patients eligible for axonal or equivocal classification by Rajabally. In 234 (68.6%) axonal studies by Rajabally the revised El Escorial (amyotrophic lateral sclerosis) criteria were fulfilled; in axonal cases by Hadden this was 1.8%. Conclusions and discussion: This study shows that electrodiagnosis in GBS is dependent on the criterion set utilized, both of which are based on expert opinion. Reappraisal of electrodiagnostic subtyping in GBS is warranted.

引用

页数：11

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