Guillain-Barré syndrome in the elderly: clinical, electrophysiological, therapeutic and outcome features.
There are few papers devoted to geriatric Guillain-Barré (GBS) and many related issues remain unanswered.


OBJECTIVE
To describe clinical, electrophysiological and therapeutic features in this age.


METHODS
Clinico-epidemiological data and therapy of GBS patients older than 60 years were reviewed. Hughes scores were used to quantify neurological deficit and define outcome.


RESULTS
Among 18 patients (mean age 64.8 years), 9 had evident prodrome and 80% noticed initially sensory-motor deficit. Demyelinating GBS was found in 8 and axonal in 6 subjects. There was one Miller-Fisher and 3 unclassified cases. Plasmapheresis (PFX) was single therapy in 12 patients and intravenous immunoglobulin (IVIg) in 2. Disability scores just before therapy were similar in both groups, so as short and long term outcome.


CONCLUSIONS
Axonal GBS seems to be more frequent in the elderly and this may have prognostic implications. PFX and IVIg were suitable options, but complications were noticed with PFX. Prospective studies are needed to better understand and manage GBS in the elderly.
França
Marcondes C
MC
Department of Neurology, Faculty of Medical Sciences, Campinas State University, Campinas, SP, Brazil.
Deus-Silva
Leonardo
L
de Castro
Rafael
R
Garibaldi
Solange G
SG
Pfeilsticker
Beatriz H M
BH
Nucci
Anamarli
A
Marques
José F C
JF
D000367:Age Factors; D017668:Age of Onset; D000368:Aged; D005260:Female; D020275:Guillain-Barre Syndrome / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010956:Plasmapheresis / Q000009:adverse effects; D012189:Retrospective Studies; D012737:Sex Factors; D016896:Treatment Outcome
D016756:Immunoglobulins, Intravenous