Síndrome de guillain-barré-strohl fatores prognósticos

Araújo, Abelardo de Queiroz Campos; Araújo, Alexandra Prufer de Queiroz Campos; Cavalcanti, José Luiz de Sá

doi:10.1590/S0004-282X1990000100010

Resumos

Os autores analisaram retrospectivamente 29 pacientes internados com a síndrome de Guillain-Barré-Strohl, objetivando identificar índices de gravidade da doença no que se refere ao desenvolvimento de complicações e ao óbito. Concluíram serem índices de gravidade a presença de sinais sensitivos, disfunção neurovegetativa, insuficiência respiratória, disfunção esfincteriana e longo tempo de permanência hospitalar.

The authors analysed retrospectively 29 in-patients with Guillain-Barré-Strohl syndrome intending to recognize severity indexes as far as the development of complications and death are concerned. Sensory signs, autonomic dysfunction, respiratory insuficiency, sphineteric disturbances and a longer time in hospital turned out to be severity indexes, when present in these patients.

Síndrome de guillain-barré-strohl fatores prognósticos

Guillain-Barré-Strohl syndrome: prognostic factors

Abelardo de Queiroz Campos Araújo^I; Alexandra Prufer de Queiroz Campos Araújo^II; José Luiz de Sá Cavalcanti^III

^IMédico do Instituto de Neurologia da UFRJ - Trabalho realizado no Hospital Universitário Clementino Fraga Filho (HUCFF) e no Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG) da Universidade Federal do Rio de Janeiro (UFRJ)

^IIMédica do IPPMG da UFRJ - Trabalho realizado no Hospital Universitário Clementino Fraga Filho (HUCFF) e no Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG) da Universidade Federal do Rio de Janeiro (UFRJ)

^IIIProfessor Adjunto de Neurologia da UFRJ - Trabalho realizado no Hospital Universitário Clementino Fraga Filho (HUCFF) e no Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG) da Universidade Federal do Rio de Janeiro (UFRJ)

RESUMO

Os autores analisaram retrospectivamente 29 pacientes internados com a síndrome de Guillain-Barré-Strohl, objetivando identificar índices de gravidade da doença no que se refere ao desenvolvimento de complicações e ao óbito. Concluíram serem índices de gravidade a presença de sinais sensitivos, disfunção neurovegetativa, insuficiência respiratória, disfunção esfincteriana e longo tempo de permanência hospitalar.

SUMMARY

The authors analysed retrospectively 29 in-patients with Guillain-Barré-Strohl syndrome intending to recognize severity indexes as far as the development of complications and death are concerned. Sensory signs, autonomic dysfunction, respiratory insuficiency, sphineteric disturbances and a longer time in hospital turned out to be severity indexes, when present in these patients.

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Dr. Abelardo de Queiroz Campos Araújo - Praça Professor José Bernardino 24/201 - 22621 Rio de Janeiro RJ - Brasil

1. Adams RD, Victor M - Principles of Neurology. Ed 3. McGraw-Hill, New York, 1985.
2. Anderson T, Siden A - A clinical study of the Guillain-Barré syndrome. Acta Neurol Scand 66:316, 1982.
3. Asbury AK - Diagnostic considerations in Guillain-Barré syndrome. Ann Neurol 9 (suppl):l, 1981.
4. Bak P - Guillain-Barré syndrome in a Danish county. Neurology 35:207, 1985.
5. Beghi E, Kurland L, Mulder DW, Wiederholt W - Guillain-Barré syndrome: clinico-epidemiologic features and effect of influenzae vaccine. Arch Neurol 42:1053, 1985.
6. Cavalcanti JLS, Araújo AQC, Arauio APQC - Síndrome de Guillain-Barré-Strohl: análise de 29 casos. Monografia. Academia Nacional de Medicina, Rio de Janeiro, 1987.
7. Codeceira AJr, Ferreira MLB, Marques PRB, Mesquita SD, Vilela MLG, Vaiença MOS, Ataide L - Polyradiculoneurites inflamatorias. Neurobiologia (Recife) 48:133, 1985.
8. Cook SD, Dawling PC - The role of autoantibody and immune complexes in the pathogenesis of Guillain-Barré syndrome. Ann Neurol 9(suppl):70, 1981.
9. Davies AG, Dingle HR - Observations on cardiovascular and neuroendocrine disturbance in the Guillain-Barré syndrome. J Neurol Neurosurg Psychiat 35:176, 1972.
10. Dowling PC, Memonna JP, Cook SD - Guillain-Barré syndrome in greater New York-New Jersey. J Am Med Assoc 238:317, 1977.
11. Eberle E, Brink J, Azen J, White D - Early predictors of incomplete recovery in children with Guillain-Barré polyneuritis. J Pediatr 86:356, 1975.
12. Eiben RM, Gersony WM - Recognition, prognosis and treatment of the Guillain-Barré syndrome (acute idiopatic polyneuritis). Med Clin North Am 47:1371, 1963.
13. Freitas MRG, Nevares MT - Síndrome de Guillain-Barré: estudo clínico de pacientes internados no Hospital Universitário Antonio Pedro de 1972 a 1986. Rev Bras Neurol 23:75, 1987.
14. Gracey DR, McMichan JC, Divertie NB, Howard FM - Respiratory failure in Guillain--Barré syndrome: a 6 year experience. Mayo Clin Proc 57:742, 1982.
15. Greenwood RJ, Newsom-Davis J, Hughes RAC, Asian S, Bowden AN - Controlled trial of plasma exchange in acute inflammatory polyradiculoneuropathy. Lancet 1:877, 1984.
16. Gruener G, Bosch EP, Strauss RG, Klugman M, Kimura J - Prediction of early beneficial response to plasma exchange in Guillain-Barré syndrome. Arch Neurol 44:295, 1987.
17. Guillain G, Barre JA, Strohl A - Sur un syndrome de radiculonevrite avec hyperalbuminose du liquide céphalo-rachidien sans reaction cellulaire: remarques sur les caracteres cliniques et graphiques des reflexes tendineux. Bull Mem Soc Med Hop Paris 40:1462, 1916.
18. Haymaker W, Kernohan JW - The Landry-Guillain-Barré syndrome: a clinicopathologic report of 50 fatal cases and a critique of the literature. Medicine (Baltimore) 28:59, 1949.
19. Hughes RAC, Newsom-Davia J, Perkin GD, Pierce JM - Controlled trial of prednisolone in acute polyneuropathy. Lancet 2:750, 1978.
20. Hughes RAC, Winer JB - Guillain-Barré syndrome. In Mathews WB, Glaser GH (eds): Recent Advances in Clinical Neurology, 4. Churchill Livingstone, London, 1984.
21. Koski CL - Guillain-Barré syndrome. Neurologic Clinics 2:235, 1984.
22. Levy JA, Sanvito W - Polyradiculoneurites: considerações sobre 111 casos. Rev Hosp Clin Fac Med S Paulo 20:239, 1965.
23. Loffel NB, Rossi LN, Mumenthaler M, Lutschg J, Ludin HF - The Landry-Guillain-Barré syndrome: complications, prognosis and natural history in 123 cases. J Neurol Sci 33:71, 1977.
24. Marshall J - The Landry-Guillain-Barré syndrome. Brain 86:56, 1963.
25. McFarland RH, Heller GL - Guillain-Barré disease complex: a statement of diagnostic criteria and analysis of 100 cases. Arch Neurol 14:196, 1966.
20. Mcleod JG - Electrophysiological studies in Guillain-Barré syndrome. Ann Neurol 9(suppl):20, 1981.
27. Osier ID, Sidell AD - The Guillain-Barré syndrome: the need for exact diagnostic criteria. N Engl J Med 262:964, 1960.
28. Palacios E - Síndrome de Guillain-Barré: estúdio clínico de 339 pacientes. Acta Med Colomb 7:69, 1982.
29. Pleasure DE, Lovelace RE, Duvoisin RC - The prognosis of acute polyradiculoneuritis. Neurology 18:1143, 1968.
30. Ravn H - The Landry-Guillain-Barré syndrome: a survey and a clinical report of 127 cases. Acta Neurol Scand 43(suppl 30):1, 1967.
31. Soffer D, Feldman S, Alter M - Epidemiology of Guillain-Barré syndrome. Neurology 28:686, 1978.
32. Sokal RR, Rohlf FJ - Introduction to Biostatistics. Ed 2. Freeman, San Francisco, 1973.
33. The Guillain-Barré Syndrome Study Group - Plasmapheresis and acute Guillain-Barré syndrome. Neurology 35:1096, 1985.
34. Tosta ED, Brasil JP, Figueiredo MAA - O uso de corticosteróides na síndrome de Guillain-Barré: estudo de 51 casos. Arq Neuro-Psiquiat (São Paulo) 44:117, 1986.
35. Winer JB, Hughes RAC, Greenwood RJ, Perkin GD, Healy MRJ - Prognosis in Guillain-Barré syndrome. Lancet 2:1202, 1985.

Datas de Publicação

Publicação nesta coleção
25 Maio 2011
Data do Fascículo
Mar 1990

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Adams RD, Victor M - Principles of Neurology. Ed 3. McGraw-Hill, New York, 1985.

[2] 2. Anderson T, Siden A - A clinical study of the Guillain-Barré syndrome. Acta Neurol Scand 66:316, 1982.

[3] 3. Asbury AK - Diagnostic considerations in Guillain-Barré syndrome. Ann Neurol 9 (suppl):l, 1981.

[4] 4. Bak P - Guillain-Barré syndrome in a Danish county. Neurology 35:207, 1985.

[5] 5. Beghi E, Kurland L, Mulder DW, Wiederholt W - Guillain-Barré syndrome: clinico-epidemiologic features and effect of influenzae vaccine. Arch Neurol 42:1053, 1985.

[6] 6. Cavalcanti JLS, Araújo AQC, Arauio APQC - Síndrome de Guillain-Barré-Strohl: análise de 29 casos. Monografia. Academia Nacional de Medicina, Rio de Janeiro, 1987.

[7] 7. Codeceira AJr, Ferreira MLB, Marques PRB, Mesquita SD, Vilela MLG, Vaiença MOS, Ataide L - Polyradiculoneurites inflamatorias. Neurobiologia (Recife) 48:133, 1985.

[8] 8. Cook SD, Dawling PC - The role of autoantibody and immune complexes in the pathogenesis of Guillain-Barré syndrome. Ann Neurol 9(suppl):70, 1981.

[9] 9. Davies AG, Dingle HR - Observations on cardiovascular and neuroendocrine disturbance in the Guillain-Barré syndrome. J Neurol Neurosurg Psychiat 35:176, 1972.

[10] 10. Dowling PC, Memonna JP, Cook SD - Guillain-Barré syndrome in greater New York-New Jersey. J Am Med Assoc 238:317, 1977.

[11] 11. Eberle E, Brink J, Azen J, White D - Early predictors of incomplete recovery in children with Guillain-Barré polyneuritis. J Pediatr 86:356, 1975.

[12] 12. Eiben RM, Gersony WM - Recognition, prognosis and treatment of the Guillain-Barré syndrome (acute idiopatic polyneuritis). Med Clin North Am 47:1371, 1963.

[13] 13. Freitas MRG, Nevares MT - Síndrome de Guillain-Barré: estudo clínico de pacientes internados no Hospital Universitário Antonio Pedro de 1972 a 1986. Rev Bras Neurol 23:75, 1987.

[14] 14. Gracey DR, McMichan JC, Divertie NB, Howard FM - Respiratory failure in Guillain--Barré syndrome: a 6 year experience. Mayo Clin Proc 57:742, 1982.

[15] 15. Greenwood RJ, Newsom-Davis J, Hughes RAC, Asian S, Bowden AN - Controlled trial of plasma exchange in acute inflammatory polyradiculoneuropathy. Lancet 1:877, 1984.

[16] 16. Gruener G, Bosch EP, Strauss RG, Klugman M, Kimura J - Prediction of early beneficial response to plasma exchange in Guillain-Barré syndrome. Arch Neurol 44:295, 1987.

[17] 17. Guillain G, Barre JA, Strohl A - Sur un syndrome de radiculonevrite avec hyperalbuminose du liquide céphalo-rachidien sans reaction cellulaire: remarques sur les caracteres cliniques et graphiques des reflexes tendineux. Bull Mem Soc Med Hop Paris 40:1462, 1916.

[18] 18. Haymaker W, Kernohan JW - The Landry-Guillain-Barré syndrome: a clinicopathologic report of 50 fatal cases and a critique of the literature. Medicine (Baltimore) 28:59, 1949.

[19] 19. Hughes RAC, Newsom-Davia J, Perkin GD, Pierce JM - Controlled trial of prednisolone in acute polyneuropathy. Lancet 2:750, 1978.

[20] 20. Hughes RAC, Winer JB - Guillain-Barré syndrome. In Mathews WB, Glaser GH (eds): Recent Advances in Clinical Neurology, 4. Churchill Livingstone, London, 1984.

[21] 21. Koski CL - Guillain-Barré syndrome. Neurologic Clinics 2:235, 1984.

[22] 22. Levy JA, Sanvito W - Polyradiculoneurites: considerações sobre 111 casos. Rev Hosp Clin Fac Med S Paulo 20:239, 1965.

[23] 23. Loffel NB, Rossi LN, Mumenthaler M, Lutschg J, Ludin HF - The Landry-Guillain-Barré syndrome: complications, prognosis and natural history in 123 cases. J Neurol Sci 33:71, 1977.

[24] 24. Marshall J - The Landry-Guillain-Barré syndrome. Brain 86:56, 1963.

[25] 25. McFarland RH, Heller GL - Guillain-Barré disease complex: a statement of diagnostic criteria and analysis of 100 cases. Arch Neurol 14:196, 1966.

[26] 20. Mcleod JG - Electrophysiological studies in Guillain-Barré syndrome. Ann Neurol 9(suppl):20, 1981.

[27] 27. Osier ID, Sidell AD - The Guillain-Barré syndrome: the need for exact diagnostic criteria. N Engl J Med 262:964, 1960.

[28] 28. Palacios E - Síndrome de Guillain-Barré: estúdio clínico de 339 pacientes. Acta Med Colomb 7:69, 1982.

[29] 29. Pleasure DE, Lovelace RE, Duvoisin RC - The prognosis of acute polyradiculoneuritis. Neurology 18:1143, 1968.

[30] 30. Ravn H - The Landry-Guillain-Barré syndrome: a survey and a clinical report of 127 cases. Acta Neurol Scand 43(suppl 30):1, 1967.

[31] 31. Soffer D, Feldman S, Alter M - Epidemiology of Guillain-Barré syndrome. Neurology 28:686, 1978.

[32] 32. Sokal RR, Rohlf FJ - Introduction to Biostatistics. Ed 2. Freeman, San Francisco, 1973.

[33] 33. The Guillain-Barré Syndrome Study Group - Plasmapheresis and acute Guillain-Barré syndrome. Neurology 35:1096, 1985.

[34] 34. Tosta ED, Brasil JP, Figueiredo MAA - O uso de corticosteróides na síndrome de Guillain-Barré: estudo de 51 casos. Arq Neuro-Psiquiat (São Paulo) 44:117, 1986.

[35] 35. Winer JB, Hughes RAC, Greenwood RJ, Perkin GD, Healy MRJ - Prognosis in Guillain-Barré syndrome. Lancet 2:1202, 1985.