Clinical behavior in serious patients with Syndrome of Guillain-Barré

Abstract

It was performed a descriptive, retrospective and transversal study to describe the clinical behavior in 26 patients with the diagnosis of Severe Acute Guillain-Barré Syndrome, they were hospitalized in the Intensive Care Unit of the Clinical Surgical  University Teaching Hospital "Celia Sánchez Manduley" in Manzanillo, Granma, during the years 2007 and 2008. There were determined the affectations in the members, the osteotendinous areflexia, autonomic dysfunction, afectation of the trunk and the respiratory organs. 65,4% of the patients belonged to the male sex. The average age was about 42.8 years for men and of 37.2 for the women. The white skin (61.5%) prevailed in the sample. There was a great predominance of people from the urban zone (76,9%). 90% of the patients abandoned the hospital with total recovery of the damaged neurological functions, in a period less than four months after the beginning of the motor compromise, besides the sequels occurred in the ones of greater extension of the motor defficit. It was observed a clinical behavior in 14 patients (53,8%), clinical manifestations in the upper and inferior members. It was observed a clinical behavior of 11,5% of the total of patients evaluated and it belonged to 88,5%, when the study of the LCR was included.