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ArticleIndian journal of pediatrics2026

Fine Motor Outcomes in Children with Guillain-Barré Syndrome.

Ashna Kumar, Lokesh Saini, Pradeep Kumar Gunasekaran, Sarbesh Tiwari, Saurabh Agarwal, Rahul Gupta, Ashwini Chityala, Daisy Khera, Ravi Gaur, Jagdish Prasad Goyal and 1 more

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Article in Indian journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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11 authors.

Ashna KumarDepartment of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.
Lokesh SainiDepartment of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India. drlokeshsaini@gmail.com.ORCID 0000-0003-3153-0736
Pradeep Kumar GunasekaranDepartment of Pediatrics, NYC Health + Hospitals/Harlem, New York, 10037, USA.
Sarbesh TiwariDepartment of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.
Saurabh AgarwalDepartment of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.
Rahul GuptaDepartment of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.
Ashwini ChityalaDepartment of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.
Daisy KheraDepartment of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.
Ravi GaurDepartment of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.
Jagdish Prasad GoyalDepartment of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.
Kuldeep SinghDepartment of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo study the motor outcomes at 6-mo and 1-y follow-up of children with Guillain-Barré syndrome (GBS).

methodsThis study was an ambispective study of 12 mo duration including children with GBS. The motor outcomes were assessed using Hughes Guillain-Barré Syndrome Disability Score (GBSDS) and Overall Neuropathy Limitations Scale (ONLS) at discharge, 6-mo, and 1-y follow-up.

resultsOf 56 patients enrolled, 52 children were included in the study. The median (IQR) age at presentation was 8 (4-11) y. Acute motor axonal neuropathy (AMAN) was the most common variant (50%) in the study. At discharge, all the children had GBSDS ≥ 2, with 51.9% (27/52) patients at 6-mo follow-up, and 19.2% (10/52) had GBSDS ≥ 2 at 1-y follow-up, signifying the need for assistance. On ONLS assessment, 46.2% (24/52) had an arm score of > 2, and 86.5% (45/52) had a leg score of > 2 at discharge. At 6-mo follow-up, 26.9% (14/52) had an arm score > 2, and 19.2% (10/52) had a leg score > 2. At 1-y follow-up, 7.7% (4/52) had an arm score of > 2, and 9.7% (5/52) had a leg score > 2. There was no mortality in the index study.

conclusionsThough most children with GBS recover completely, there can still be long-term impairments of fine motor movements required for daily activities. Early recognition and monitoring of persistent motor deficits as long-term sequelae of GBS is of utmost importance to improve the quality of life of these children.

Indexed as

Guillain-Barre SyndromeMotor SkillsChildChild, PreschoolDisability EvaluationFemaleFollow-Up StudiesHumansMaleFine motor outcomesGBS disability scoreGuillain-Barré syndromeOverall neuropathy limitation scale

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