To Evaluate The Clinical And Electrophysiological Aspects of Guillain Barre Syndrome In PBM Hospital Bikaner In Children Age Group.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 4
Abstract
Background: Guillian Barre Syndrome (GBS) is an acute, frequently severe and fulminant polyradiculoneuropathy that is autoimmune in nature, involving mainly motor but also sensory and sometimes autonomic nerves. Methods: The study was carried out in the Department of Paediatrics, S.P. Medical College & Associated Group of Hospitals, Bikaner, Rajasthan. The study subjects included all patients aged 15 years and below with clinical presentation of Guillain Barre syndrome. Results: Clinically 19 patients (61.29%) were admitted with quadriparesis and 12 patients (38.71%) with paraparesis. In maximum cases the proximal and distal muscles in each limb were equally affected. In 12 patients (38.70%) bulbar muscles were involved. 32.26% of them required ventilatory support. Areflexia was present in all the patients. In our study the mixed subtype is the commonest electrophysiological pattern of that is equally distributed in all the age groups of the Guillain Barre syndrome patients in our zone present in (45.16%) cases followed by axonal (29.03%), demyelinating (16.12%), inexcitable (6.45%) and normal pattern. Conclusion: Thus by our study we conclude that GBS should be suspected in all the patients presenting with acute flaccid paralysis in different age groups. Mixed type is the predominant electrophysiogical pattern seen in almost all age group.
Authors and Affiliations
P. K. Berwal
Keywords
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