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Childhood Guillain-Barré Syndrome: Clinical and Electrophysiologic Features Predictive of Outcome

Department of Neurology, Colleges of Medicine and Public Health, University of Iowa Hospitals and Clinics, Iowa City, IA

Adel K. Afifi, MD

Department of Neurology, Colleges of Medicine and Public Health, University of Iowa Hospitals and Clinics, Iowa City, IA, Department of Pediatrics, Colleges of Medicine and Public Health, University of Iowa Hospitals and Clinics, Iowa City, IA

Carl Kice Brown, MS

Department of Biostatistics Colleges of Medicine and Public Health, University of Iowa Hospitals and Clinics, Iowa City, IA

Jun Kimura, MD

Department of Neurology, Colleges of Medicine and Public Health, University of Iowa Hospitals and Clinics, Iowa City, IA

The hospital records of 27 children with the diagnosis of Guillain-Barré syndrome were retrospectively reviewed. Based on the time to recovery, patients were divided into two groups: group 1 consisted of children whose times to complete or partial recovery extended beyond 2 months from onset of the disease; group 2 consisted of children who attained a full recovery within 2 months from onset of the disease. The clinical and electrophysiologic features of the two groups were statistically compared for their predictive value of outcome. Three clinical features (maximum disability score at presentation, intubation, and cranial nerve involvement) were predictive of poor outcome, whereas one electrophysiologic feature (conduction block) was predictive of favorable outcome. There was also a significant correlation between maximum disability score at presentation and the probability of intubation. (J Child Neurol 2001;16:477-483).

Journal of Child Neurology, Vol. 16, No. 7, 477-483 (2001)
DOI: 10.1177/088307380101600703


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