Derksen, Angelika, Ritter, Christian, Athar, Parveen, Kieseier, Bernd C., Mancias, Pedro, Hartung, Hans-Peter, Sheikh, Kazim A. and Lehmann, Helmar C. (2014). SURAL SPARING PATTERN DISCRIMINATES GUILLAIN-BARRE SYNDROME FROM ITS MIMICS. Muscle Nerve, 50 (5). S. 780 - 785. HOBOKEN: WILEY. ISSN 1097-4598

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Abstract

Introduction: Electrodiagnostic features of demyelination are essential for establishing the diagnosis in demyelinating subtypes of Guillain-Barre syndrome (GBS), but they may also occur in disorders that mimic GBS clinically. Information about their frequency in GBS mimics is sparse. Methods: Evaluation of electrodiagnostic features from 38 patients with suspected GBS in whom the diagnosis was later refuted (GBS mimics). Their diagnostic accuracy was analyzed by comparison with nerve conduction studies (NCS) from 73 confirmed GBS patients. Results: Disorders that mimicked GBS clinically at the time of hospital admission included other inflammatory, metabolic, toxic, or infectious neuropathies and spinal cord disorders. The sural sparing pattern was the most specific electrodiagnostic feature for demyelinating GBS. Conclusions: Common electrodiagnostic abnormalities in early demyelinating GBS do not usually exclude other rare differential diagnoses. An exception to this is the sural sparing pattern described here, which strongly supports the diagnosis of demyelinating GBS. Muscle Nerve50: 780-784, 2014

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Derksen, AngelikaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ritter, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Athar, ParveenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kieseier, Bernd C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mancias, PedroUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hartung, Hans-PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sheikh, Kazim A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lehmann, Helmar C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-424734
DOI: 10.1002/mus.24226
Journal or Publication Title: Muscle Nerve
Volume: 50
Number: 5
Page Range: S. 780 - 785
Date: 2014
Publisher: WILEY
Place of Publication: HOBOKEN
ISSN: 1097-4598
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
EARLY ELECTRODIAGNOSTIC FINDINGS; F-WAVES; ELECTROPHYSIOLOGYMultiple languages
Clinical Neurology; NeurosciencesMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/42473

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