Evidence map›Paper›PMID 27819421›Full record

ArticleJournal of clinical neurology (Seoul, Korea)2016

Early Electrodiagnostic Features of Upper Extremity Sensory Nerves Can Differentiate Axonal Guillain-Barré Syndrome from Acute Inflammatory Demyelinating Polyneuropathy.

Yong Seo Koo, Ha Young Shin, Jong Kuk Kim, Tai Seung Nam, Kyong Jin Shin, Jong Seok Bae, Bum Chun Suh, Jeeyoung Oh, Byeol A Yoon, Byung Jo Kim

Abstract read
In one paragraph

Article in Journal of clinical neurology (Seoul, Korea), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yong Seo KooDepartment of Neurology, Korea University Medical Center, Seoul, Korea.
Ha Young ShinDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Jong Kuk KimDepartment of Neurology, Dong-A University College of Medicine, Busan, Korea.
Tai Seung NamDepartment of Neurology, Chonnam National University Medical School, Gwangju, Korea.
Kyong Jin ShinDepartment of Neurology, Haeundae Paik Hospital, Inje University, Busan, Korea.
Jong Seok BaeDepartment of Neurology, College of Medicine, Hallym University, Chunchoen, Korea.
Bum Chun SuhDepartment of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Jeeyoung OhDepartment of Neurology, Konkuk University Medical Center, Seoul, Korea.
Byeol A YoonDepartment of Neurology, Dong-A University College of Medicine, Busan, Korea.
Byung Jo KimDepartment of Neurology, Korea University Medical Center, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeSerial nerve conduction studies (NCSs) are recommended for differentiating axonal and demyelinating Guillain-Barré syndrome (GBS), but this approach is not suitable for early diagnoses. This study was designed to identify possible NCS parameters for differentiating GBS subtypes.

methodsWe retrospectively reviewed the medical records of 70 patients with GBS who underwent NCS within 10 days of symptom onset. Patients with axonal GBS and acute inflammatory demyelinating polyneuropathy (AIDP) were selected based on clinical characteristics and serial NCSs. An antiganglioside antibody study was used to increase the diagnostic certainty.

resultsThe amplitudes of median and ulnar nerve sensory nerve action potentials (SNAPs) were significantly smaller in the AIDP group than in the axonal-GBS group. Classification and regression-tree analysis revealed that the distal ulnar sensory nerve SNAP amplitude was the best predictor of axonal GBS.

conclusionsEarly upper extremity sensory NCS findings are helpful in differentiating axonal-GBS patients with antiganglioside antibodies from AIDP patients.

Indexed as

acute inflammatory demyelinating polyneuropathyearly diagnosiselectrodiagnosisGuillain-Barré syndromeneural conduction

Identifiers

PMID27819421
PMCPMC5063878

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