Diagnosis of Guillain-Barré syndrome and validation of Brighton criteria

Brain : a Journal of Neurology
Christiaan FokkeB C Jacobs

Abstract

Guillain-Barré syndrome is an acute polyradiculoneuropathy with a variable clinical presentation. Accurate diagnostic criteria are essential for patient care and research, including clinical trials and vaccine safety studies. Several diagnostic criteria for Guillain-Barré syndrome have been proposed, including the recent set by the Brighton Collaboration. In the present study we describe in detail the key diagnostic features required to meet these Brighton criteria in a study population of 494 adult patients with Guillain-Barré syndrome, previously included in therapeutic and observational studies. The patients had a median age of 53 years (interquartile range 36-66 years) and males slightly predominated (56%). All patients developed bilateral limb weakness which generally involved both upper and lower extremities. The weakness remained restricted to the legs in 6% and to the arms in 1% of the patients. Decreased reflexes in paretic arms or legs were found initially in 91% of patients and in all patients during follow-up. Ten (2%) patients however showed persistence of normal reflexes in paretic arms. Disease nadir was reached within 2 weeks in 80%, within 4 weeks in 97% and within 6 weeks in all patients. A monophasic disease ...Continue Reading

References

Oct 7, 1978·Lancet·R HughesJ M Pierce
Jun 1, 1992·Archives of Neurology·R HughesP Payan
Nov 1, 1991·Journal of Neurology, Neurosurgery, and Psychiatry·R P Kleyweg, F G van der Meché
Jan 1, 1990·Annals of Neurology·A K Asbury, David R Cornblath
Feb 1, 1989·Journal of Neurochemistry·E Ben MenachemJ Hardenberg
Apr 1, 1988·Annals of Neurology·David R CornblathS A Quaskey
Mar 1, 1994·Neurobiology of Aging·J W Olney
Nov 1, 1994·Journal of Neurology, Neurosurgery, and Psychiatry·U Wurster, J Haas
Mar 5, 2004·The Neurologist·Kerry H Levin
Jun 17, 2005·Journal of the Peripheral Nervous System : JPNS·Hugh J Willison
Nov 8, 2005·Lancet·Richard A C Hughes, David R Cornblath
Oct 14, 2008·Lancet Neurology·Pieter A van DoornB C Jacobs
Mar 10, 2009·Journal of Neurology·Johannes BrettschneiderHayrettin Tumani
Sep 22, 2010·Brain : a Journal of Neurology·Norito KokubunNobuhiro Yuki
Sep 24, 2010·Neurology·L RutsDutch GBS Study Group
Mar 2, 2011·Neurology·Joyce RoodbolB C Jacobs
Oct 19, 2011·Journal of the Peripheral Nervous System : JPNS·Nicoline A T van der MaasMiriam C J M Sturkenboom
Dec 7, 2011·Journal of Neurology·Nobuhiro YukiA Uncini
Dec 23, 2011·Brain : a Journal of Neurology·Els K VanhouttePeriNomS Study Group
Apr 7, 2012·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·A Uncini, Satoshi Kuwabara
May 29, 2012·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Hessel Franssen
Jun 15, 2012·The New England Journal of Medicine·Nobuhiro Yuki, Hans-Peter Hartung

Citations

Jul 16, 2014·Nature Reviews. Neurology·Bianca van den BergPieter A van Doorn
Jul 30, 2014·Nature Reviews. Neurology·Benjamin R WakerleyGBS Classification Group
Dec 3, 2014·Revue neurologique·Thierry Kuntzer
Dec 30, 2015·Nature Reviews. Neurology·Harry R DaltonB C Jacobs
Feb 26, 2016·Neurophysiologie clinique = Clinical neurophysiology·Maenia ScarpinoAntonello Grippo
Jul 30, 2015·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Alexander GrimmPeter Fuhr
Sep 1, 2015·Muscle & Nerve·Benjamin R Wakerley, Nobuhiro Yuki
Jul 1, 2015·Muscle & Nerve·Bernhard F DécardAlexander Grimm
Dec 29, 2015·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·G SciaccaMario Zappia
Jun 26, 2015·Journal of the Peripheral Nervous System : JPNS·Thomas H P DraakPeriNomS Study Group
Feb 19, 2015·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Alexander GrimmPeter Fuhr
Nov 25, 2014·Journal of the Peripheral Nervous System : JPNS·Alexander GrimmHubertus Axer
Feb 3, 2015·Journal of the Peripheral Nervous System : JPNS·Anna Hiu Yi WongNobuhiro Yuki
Mar 15, 2016·The International Journal of Neuroscience·Jussi O T SipiläMerja Soilu-Hänninen
Oct 10, 2015·Mediators of Inflammation·Ying WangHong-Liang Zhang
Feb 26, 2015·Journal of Neurology·Benjamin R Wakerley, Nobuhiro Yuki
Jan 15, 2015·Journal of the Peripheral Nervous System : JPNS·Stojan PericDragana Lavrnic
May 22, 2016·Journal of the Neurological Sciences·Francesca NotturnoA Uncini
Apr 29, 2015·Practical Neurology·Benjamin R WakerleyNobuhiro Yuki
Jun 16, 2015·JAAPA : Official Journal of the American Academy of Physician Assistants·Robert Estridge, Mariana Iskander
Sep 23, 2014·Practical Neurology·Benjamin R Wakerley, Nobuhiro Yuki
May 21, 2016·Frontiers in Neurology·Sandhya RavikumarMay Kim-Tenser
Apr 26, 2016·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Jae Hoon LeeJi Hyun Cho
Jun 14, 2016·Expert Review of Clinical Immunology·Anil K JastiM Eric Gershwin
Jun 30, 2016·Lancet·Leonelo E Bautista, Ajay K Sethi
Jul 31, 2016·Der Nervenarzt·G Stoll, K Reiners
Mar 8, 2016·Lancet·Hugh J WillisonPieter A van Doorn
Aug 11, 2016·BMC Infectious Diseases·P W M C S B WijekoonC T Hapuarachchi
Sep 27, 2016·Autoimmunity Reviews·Susanna Esposito, Maria Roberta Longo
Oct 18, 2016·Frontiers in Neurology·A Arturo Leis, Dobrivoje S Stokic
Oct 5, 2016·Muscle & Nerve·Takeshi KimachiBenjamin R Wakerley
Nov 8, 2016·Expert Opinion on Therapeutic Targets·Ying WangHong-Liang Zhang
Feb 10, 2016·PloS One·Nikki van LeeuwenB C Jacobs
Dec 20, 2016·Journal of the Peripheral Nervous System : JPNS·Alexandra DelannoyAlain Weill
Nov 4, 2016·The American Journal of Tropical Medicine and Hygiene·Ryan G FabriziusPatricia F Walker
Oct 16, 2015·Arquivos de neuro-psiquiatria·Daniel Agustin Godoy, Alejandro A Rabinstein
Apr 28, 2017·Journal of the Peripheral Nervous System : JPNS·Tanveen IshaqueZhahirul Islam
Nov 12, 2016·Journal of Neurology, Neurosurgery, and Psychiatry·Christine VerboonB C Jacobs
Jan 18, 2018·Journal of the Peripheral Nervous System : JPNS·Ilse M LuckeFilip Eftimov
Feb 20, 2018·Journal of the Peripheral Nervous System : JPNS·Diego FranciottaEduardo Nobile-Orazio
Dec 22, 2017·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·A UnciniJ-M Anaya
Nov 24, 2017·Frontiers in Neurology·Viviana VersaceRaffaele Nardone
Dec 1, 2017·Journal of Clinical Neuromuscular Disease·Kongkiat Kulkantrakorn, Puchit Sukphulloprat
Nov 15, 2017·Neurology India·Rati AgrawalPrakash Singh
Nov 29, 2017·Journal of Neuroinflammation·David SchafflickGerd Meyer Zu Horste
Jun 29, 2018·Human Vaccines & Immunotherapeutics·Shuang LiuEroboghene Ekamereno Ubogu
Apr 2, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Virginia A Head, Benjamin R Wakerley
Jan 18, 2018·Muscle & Nerve·Noah A KolbMike Hehir
Sep 15, 2017·Journal of Pediatric Neurosciences·Voitenkov Vladislav VoitenkovAksenova Anastasia
Apr 9, 2018·Journal of Neurology, Neurosurgery, and Psychiatry·Bianca van den BergB C Jacobs
Aug 4, 2018·Current Opinion in Neurology·Alex Y DoetsPieter A van Doorn
Oct 2, 2015·Continuum : Lifelong Learning in Neurology·Alejandro A Rabinstein
Aug 1, 2018·Practical Neurology·Robert DurcanTim Lynch
Oct 10, 2018·BMJ Case Reports·Omid Salaami, Dennis Michael Manning
Oct 19, 2018·BMJ Case Reports·Anudeep YelamPradeep C Bollu
Mar 1, 2019·Internal and Emergency Medicine·Claudia MarinucciMaria Maddalena Zanone
Sep 22, 2019·Nature Reviews. Neurology·Sonja E LeonhardB C Jacobs
Nov 13, 2019·Annals of Clinical and Translational Neurology·Yanlei HaoYuzhong Wang
Jan 4, 2020·Muscle & Nerve·Stefanie SchreiberStefan Vielhaber
Oct 7, 2019·Journal of Neurology, Neurosurgery, and Psychiatry·Christine VerboonIGOS Consortium
Jul 30, 2019·Neurology. Neuroimmunology and Neuroinflammation·Pierre R BourqueA Breiner
Apr 28, 2019·Neurology·Annie LannuzelEmmanuel Roze
Apr 24, 2020·Journal of Investigative Medicine High Impact Case Reports·Aakriti AroraEricka LiFuentes
Apr 28, 2020·PLoS Neglected Tropical Diseases·Sonja E LeonhardMaria de Fatima P Militão de Albuquerque
Apr 29, 2020·Journal of the Peripheral Nervous System : JPNS·Giuseppe Liberatoreon the behalf of the Italian CIDP Database Study Group
Sep 13, 2016·Journal of the Peripheral Nervous System : JPNS·Mohammad B IslamB C Jacobs
Jun 12, 2020·Journal of Investigative Medicine High Impact Case Reports·Aditi Vian Varma-DoyleRadha Mayuri Garikepati
Jun 5, 2020·Acta Neurologica Scandinavica·Pingping NingYanming Xu
Jun 16, 2017·Current Opinion in Neurology·Osvaldo J M Nascimento, Ivan R F da Silva
Jun 9, 2020·Journal of the Peripheral Nervous System : JPNS·Cheng-Yin TanNortina Shahrizaila
Jul 10, 2020·BMJ Case Reports·May Yung Tiet, Nazar AlShaikh
Sep 17, 2020·The New England Journal of Medicine·Guowei WangPeng Xie
Sep 2, 2020·Journal of the Peripheral Nervous System : JPNS·Rudolf Korinthenberg, James J Sejvar
Jul 1, 2016·Brain : a Journal of Neurology·Abelardo Q C AraujoAlexandra P Q C Araujo
Sep 18, 2020·Muscle & Nerve·Rahul WahatuleArun B Taly
Oct 2, 2020·Continuum : Lifelong Learning in Neurology·Kazim A Sheikh
Jul 29, 2020·Journal of Neurovirology·Rory M C AbramsJessica Robinson-Papp
Nov 20, 2016·Nature Reviews. Neurology·John A Goodfellow, Hugh J Willison
Jan 10, 2017·Frontiers in Neurology·Thomas LangerakHenk Alberga
Mar 30, 2018·Journal of Neurovirology·Olivier SimonMyrielle Dupont-Rouzeyrol
May 22, 2018·The Egyptian Journal of Neurology, Psychiatry and Neurosurgery·Yosria A AltaweelShimaa AbdelBadea
May 22, 2018·The Egyptian Journal of Neurology, Psychiatry and Neurosurgery·Wafik Said BahnasyIbrahim Salah Eldeen Ibrahim
May 23, 2019·Frontiers in Neurology·José Luis Soto-HernándezPablo Kuri Morales
Sep 11, 2019·QJM : Monthly Journal of the Association of Physicians·S GuptaR Uniyal
Aug 7, 2019·Journal of the Peripheral Nervous System : JPNS·Ángela GómezSaúl Reyes
Aug 30, 2020·Journal of Neurology, Neurosurgery, and Psychiatry·Carlo CivardiClaudio Geda
Sep 26, 2020·Frontiers in Neurology·Antonio ZitoAlfredo Costa
Jun 6, 2017·Journal of Korean Medical Science·Yong Shik ParkBum Chun Suh
Jun 8, 2017·Clinical Case Reports·Emilia Österlund-Tauriala, Juhani V Partanen
Aug 18, 2017·Diagnostic Cytopathology·Rafael Martínez-Girón, Liron Pantanowitz
Aug 31, 2017·PLoS Neglected Tropical Diseases·Ashley R StyczynskiGiovanini E Coelho
Apr 18, 2019·BMJ Case Reports·Preet Mukesh ShahAnand Bhabhor
Apr 10, 2019·Acta neurologica Belgica·Abdulkadir Tunç
Jun 1, 2019·International Cancer Conference Journal·Daiki TaguchiHiroyuki Shibata
Mar 19, 2020·Journal of Neuroinflammation·Patrick AltmannPaulus Stefan Rommer
May 27, 2020·Journal of Clinical Neuromuscular Disease·Sandeep RanaGeorge Small
May 16, 2018·Annals of Clinical and Translational Neurology·Corine H GeurtsvanKesselHubert P Endtz
Sep 25, 2018·Brain : a Journal of Neurology·Alex Y DoetsIGOS Consortium
Oct 1, 2019·Current Opinion in Ophthalmology·Bayan Al OthmanAndrew G Lee
Aug 11, 2020·Case Reports in Infectious Diseases·Rafail BeshaiJoseph Bibawy
Apr 26, 2020·Journal of Neuromuscular Diseases·Corinne G C HorlingsWolfgang N Löscher
Aug 1, 2020·Neurology. Neuroimmunology and Neuroinflammation·Luise AppeltshauserKathrin Doppler
Jul 8, 2020·Neurology. Neuroimmunology and Neuroinflammation·Aline de Moura Brasil MatosCamila Malta Romano
Aug 28, 2020·Journal for Immunotherapy of Cancer·Angela OrcurtoGeorge Coukos
Nov 11, 2017·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Qiaoxia HuBaorong Zhang
Feb 27, 2017·Internal and Emergency Medicine·Paolo FraticelliArmando Gabrielli
Nov 7, 2017·Brain : a Journal of Neurology·Richard A C HughesHugh J Willison
Oct 13, 2018·Nature Reviews. Disease Primers·Bernd C KieseierHans-Peter Hartung
Jan 24, 2020·Acta neurologica Belgica·Serhat Vahip OkarKoray Ergünay
Oct 17, 2017·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Matteo GastaldiDiego Franciotta
Jul 23, 2020·Acta neurologica Belgica·Giuliana Galassi, Alessandro Marchioni
Oct 10, 2017·Biomedicine Hub·Ali Akbar Momen, Abdolhussein Shakurnia
Sep 19, 2020·Therapeutic Advances in Neurological Disorders·Kyle M Blackburn, Cynthia Wang
Oct 9, 2020·Annals of Clinical and Translational Neurology·Peter KörtvelyessyAlexander Goihl
Sep 23, 2020·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Camillo ForestiMaria Sessa
Nov 3, 2020·Annals of Clinical and Translational Neurology·Eoin Mulroy, Neil E Anderson
Nov 6, 2020·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Hatice TankisiAnders Fuglsang-Frederiksen
Oct 20, 2020·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Harald HegenFlorian Deisenhammer
Nov 25, 2020·Pathogens·Erin P McDonnellMartin J Blaser
Dec 8, 2020·The International Journal of Neuroscience·Ali R ShorakaXiangping Li
Dec 18, 2020·PLoS Neglected Tropical Diseases·Israel GrijalvaArlette Areli Cervantes-Ocampo
Nov 25, 2019·Internal Medicine Journal·Stephanie L Barnes, Geoffrey K Herkes
Dec 10, 2020·Annals of Neurology·Marcos FragielSIESTA (Spanish Investigators in Emergency Situations Team) network
Jan 19, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Laura LibonatiMaurizio Inghilleri
Oct 29, 2020·Neuropediatrics·Rudolf KorinthenbergHans Fuchs
Jan 17, 2020·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·R KorinthenbergW Müller-Felber
Feb 4, 2021·The International Journal of Neuroscience·Ülkü Türk BörüAhmet Çağdaş Yılmaz
Oct 24, 2020·Journal of Neurology, Neurosurgery, and Psychiatry·Giovanna CapodiventoLucilla Nobbio
Jan 19, 2021·Journal of Neuromuscular Diseases·Long DavalosAmro Maher Stino
Jan 19, 2021·Curēus·Mohammed AabdiBrahim Housni
Jan 8, 2021·Journal of Family Medicine and Primary Care·Sonali SinghPallavi Saple
Feb 7, 2021·Journal of Neuroimmunology·Pingping NingYanming Xu
Feb 9, 2021·Journal of the Peripheral Nervous System : JPNS·Imran HasanZhahirul Islam

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