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Colegio de Medicina Interna de México.

2020, Number 1

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Med Int Mex 2020; 36 (1)

Guillain-Barré syndrome during the Zika outbreak in Veracruz, Mexico, in 2016-2017

Del Carpio-Orantes L, Peniche-Moguel KG, Sánchez-Díaz JS, Pola-Ramírez MR, Perfecto-Arroyo MA, Solís-Sánchez I, Mata-Miranda MP, García-Méndez S, Rosas-Lozano AL

Language: Spanish
References: 23
Page: 33-39
PDF size: 214.52 Kb.


ABSTRACT

Objective: To analyze a series of patients with Guillain-Barre syndrome.
Material and Method: A prospective study was done analyzing a series or patients with Guillain-Barre syndrome in the years of 2016 and 2017 at Zone General Hospital 71 Benito Coquet Lagunes and the National Medical Center Adolfo Ruiz Cortines of Veracruz, Mexico. Patients were submitted to neuroconduction studies based on Ho and Hadden criteria. The main clinical subtypes, neuroconduction patterns, cranial nerve involvement and the etiological agents identified were analyzed.
Results: There were reported 35 cases of Guillain-Barre syndrome, from which 30 were submitted to neuroconduction studies. The most frequent neuroconduction pattern was acute demyelinating inflammatory polyneuropathy, as well as other variants, such as Miller Fisher’s syndrome and facial diplegia, the latter in correlation with the most affected cranial nerve that was the VII.
Conclusions: It was noticed the existance of other clinical variables, such as Miller-Fisher syndrome, as well as the involvement of the VII cranial nerve with a analizacase of facial diplegia, constituting a rare variant of Guillain-Barre syndrome, but these variants should always be taken into consideration during the outbreaks of this disease.


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