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Journal ArticleOpen Access

CSF Findings in Relation to Clinical Characteristics, Subtype, and Disease Course in Patients With Guillain-Barré Syndrome

Author Affiliations
Erasmus University Rotterdam, International Centre for Diarrhoeal Disease Research, Toxicologie, Pharmacologie et Signalisation Cellulaire, Brain (Germany), ...
Published InNeurology
Year2023
Citations54

Abstract

<h3>Objective:</h3> To investigate cerebrospinal fluid findings in relation to clinical and electrodiagnostic subtypes, severity, and outcome of Guillain-Barré syndrome based on 1500 patients in the International GBS Outcome Study. <h3>Methods:</h3> Albuminocytological dissociation was defined as an increased protein level (&gt;0.45 g/L) in absence of elevated white cell count (&lt;50 cells/µL). We excluded 124 (8%) patients due to other diagnoses, protocol violation or insufficient data. CSF was examined in 1231 patients (89%). <h3>Results:</h3> In 846 (70%) patients CSF examination showed albuminocytological dissociation, which increased with time from weakness onset: ≤4 days 57%, &gt;4 days 84%. High CSF protein levels were associated with a demyelinating subtype, proximal or global muscle weakness and a reduced likelihood of being able to run at week…
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