길랭-바레 증후군의 전기진단
Electrodiagnosis of Guillain-Barre Syndrome
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Electrophysiologic examination is important for diagnosis of Guillain-Barre syndrome (GBS), classification of its subtypes, and establishment of prognosis. There were many electrodiagnostic criteria sets for demyelinating type of GBS, acute inflammatory demyelinating polyneuropathy, with different sensitivity and specificity. Criteria sets for axonal type of GBS, acute motor axonal neuropathy (AMAN) and acute motor and sensory axonal neuropathy, were initially proposed based on the simple axonal degeneration. However, some patients with AMAN demonstrated transient conduction block/slowing in intermediate and distal nerve segments without abnormal temporal dispersion, which named reversible conduction failure (RCF). The lack of difference between demyelinating conduction block and RCF could lead to falsely classify AMAN patients with RCF as AIDP or AMAN with axonal degeneration. Serial electrophysiological studies are mandatory for the proper classification of GBS subtypes. Also, more appropriate electrodiagnostic criteria set for the axonal GBS should be developed.
Abstract
Electrophysiologic examination is important for diagnosis of Guillain-Barre syndrome (GBS), classification of its subtypes, and establishment of prognosis. There were many electrodiagnostic criteria sets for demyelinating type of GBS, acute inflammatory demyelinating polyneuropathy, with different sensitivity and specificity. Criteria sets for axonal type of GBS, acute motor axonal neuropathy (AMAN) and acute motor and sensory axonal neuropathy, were initially proposed based on the simple axonal degeneration. However, some patients with AMAN demonstrated transient conduction block/slowing in intermediate and distal nerve segments without abnormal temporal dispersion, which named reversible conduction failure (RCF). The lack of difference between demyelinating conduction block and RCF could lead to falsely classify AMAN patients with RCF as AIDP or AMAN with axonal degeneration. Serial electrophysiological studies are mandatory for the proper classification of GBS subtypes. Also, more appropriate electrodiagnostic criteria set for the axonal GBS should be developed.
참고문헌 (26)
- Hughes RAC, "Clinical and epidemiologic features of Guillain-Barre syndrome", J Infect Dis, 176, pp.S92~S98 (1997)
- Alam TA, "Electrophysiological studies in the Guillain-Barré syndrome: distinguishing subtypes by published criteria", Muscle Nerve, 21, pp.1275~1279 (1998)
- Uncini A, "Pitfalls in electrodiagnosis of Guillain-Barré syndrome subtypes", J Neurol Neurosurg Psychiatry, 81, pp.1157~1163 (2010)
- Guillain G, "Sur un syndrome de radiculo-nevrite avec hyper albiminose du loquide cephalo-rachiden sas raection cel1ulaire. Remarques sur les catarcteres cliniques et graphiques des reflexes tendeneux. Bul1etins et memories de la societe medicale des hospi-taux de Paris", Masson et Cie, 40, pp.1462~1470 (1916)
- Lambert EH, "Nerve conduction in the Guillain-Barre syndrome", Bull Am Assoc Electromyogr Electrodiagn, 10, pp.13~ (1963)
- Asbury AK, "The inflammatory lesions in idiopathic polyneuritis: its role in pathogenesis", Medicine, 48, pp.173~215 (1969)
- Asbury AK, "Criteria for diagnosis of Guillain-Barre syndrome", Ann Neurol, 3, pp.565~566 (1978)
- Kelly JJ, "The electrodiagnostic findings in peripheral neuropathy associated with monoclonal gammopathy", Muscle Nerve, 6, pp.504~509 (1983)
- Asbury AK, "Assessment of current diagnostic criteria for Guillain-Barre syndrome", Ann Neurol, 27, pp.S21~S24 (1990)
- Albers JW, "Sequential electrodiagnostic abnormalities in acute inflammatory demyelinating polyneuropathy", Muscle Nerve, 8, pp.528~539 (1985)
- Cornblath DR, "Electrophysiology in Guillain-Barre syndrome", Ann Neurol, 27, pp.S517~S520 (1990)
- Ho TW, "Guillain-Barre syndrome in northern China:relationship to Campylobacter jejuni infection and antiglycolipid antibodies", Brain, 118, pp.597~605 (1995)
- Hadden RD, "Electrophysiological classification of Guillain-Barre syndrome: clinical associations and outcome", Ann Neurol, 44, pp.780~788 (1998)
- Chanson JB, "Early electrodiagnostic abnormalities in acute inflammatory demyelinating polyneuropathy: A retrospective study of 58 patients", Clin Neurophysiol (2014)
- Amato AA, "Electrodiagnostic medicine", pp.937~1042 (2002), Hanley & Belfus, INC
- Preston DC, "Electromyography and Neuromuscular disorders: Clinical-electrophysiologic correlates", pp.391~394 (2013), Elsevier Sounders
- Feasby TE, "An acute axonal form of Guillain-Barre polyneuropathy", Brain, 109, pp.1115~1126 (1986)
- Yuki N, "Acute axonal polyneuropathy associated with anti-GM1 antibodies following Campylobacter enteritis", Neurology, 40, pp.1900~1902 (1990)
- Uncini A, "Electrodiagnostic criteria for Guillain-Barre syndrome: a critical revision and the need for an update", Clin Neurophysio, 123, pp.1487~1495 (2012)
- Kuwabara S, "Differences in membrane properties of axonal and demyelinating Guillain-Barre syndromes", Ann Neurol, 52, pp.180~187 (2002)
- Kuwabara S, "The refractory period of transmission is impaired in axonal Guillain-Barre syndrome", Muscle Nerve, 28, pp.683~689 (2003)
- Kokubun N, "Conduction block in acute motor axonal neuropathy", Brain, 133, pp.2897~2908 (2010)
- Ogawara K, "Axonal Guillain-Barre syndrome: relation to antiganglioside antibodies and Campylobacter jejuni infection in Japan", Ann Neurol, 48, pp.624~631 (2000)
- Kuwabar S, "Axonal Guillain-Barre syndrome:concepts and controversies", Lancet Neurol, 12, pp.1180~1188 (2013)
- Kuwabara S, "Does Campylobacter jejuni infection elicit “demyelinating” Guillain-Barre syndrome?", Neurology, 63, pp.529~533 (2004)
- Susuki K, "Anti-GM1 antibodies cause complement-mediated disruption of sodium channel clusters in peripheral motor nerve fibers", J Neurosci, 27, pp.3956~3967 (2007)