AUTHOR=Niu Jingwen , Liu Mingsheng , Sun Qing , Li Yi , Wu Shuang , Ding Qingyun , Guan Yuzhou , Cui Liying 

TITLE=Motor Nerve Conduction Block Predicting Outcome of Guillain-Barre Syndrome

JOURNAL=Frontiers in Neurology

VOLUME=9

YEAR=2018

URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2018.00399

DOI=10.3389/fneur.2018.00399

ISSN=1664-2295

ABSTRACT=<p><bold>Introduction:</bold> Motor nerve conduction blocks (CBs) could be detected in both acute inflammatory demyelinating polyradiculoneuropathy (AIDP) and acute motor axonal neuropathy (AMAN). We aimed to identify the correlation between CBs and functional outcome in the two subtypes of GBS.</p><p><bold>Methods:</bold> Motor nerve conduction studies were performed in 17 patients with AIDP and 23 with AMAN. All patients were treated with intravenous immunoglobulin, and their disabilities were evaluated with Hughes functional grading scale before treatment, 1 month and 6 months after onset.</p><p><bold>Results:</bold> AMAN with CBs had higher reduction of Hughes grade (indicating more improved outcomes) at 1 month (1.71 ± 0.83 vs. 1 ± 0.67, <italic>p</italic> = 0.034) than AIDP with CBs. AMAN with CBs had higher reduction of Hughes grade at 1 month (1.71 ± 0.83 vs. 0.56 ± 0.73, <italic>p</italic> = 0.002) than AMAN without CBs. The reduction of Hughes grade at 1 month showed no significant difference between AIDP with and without CBs.</p><p><bold>Discussion:</bold> Motor nerve CBs in AMAN indicated better prognosis than in AIDP.</p>