Hallazgos clínicos previos al diagnóstico de Guillain Barré.

Abstract

Introduction:Guillian Barre syndrome (SGB) represents the most frequent form of acute demyelinating Polirradiculoneuropatia. Most of the cases present previous symptoms such a respiratory viral infections from 1 to 3 weeks before the neurological characteristic symptoms. Objective:To determine the main clinical findings previous to diagnosis Guillan Barre syndrome, in patients hospitalized in Hospital Teodoro Maldonado Carbo 2015-2017. Material and method:This is a descriptive, observational, and prevalent study which has a population based on patients that were hospitalized with diagnostic of Guillian Barre who presented gastrointestinal, respiratory or neurological symptoms, they were performed lumbar puncture and the treatment for this syndrome. Results:42 patients were included who achieved all the research criteria. They were evaluated 23 men (66.99%) and 19 women (45.24%). It was observed that the age with the greatest presentation of the pathology was between 45-55 years in 13 patients (30.95%), the hospital days varies between 11-25 days in 22 patients (52.38%), it was determined that 80.95% of the sample maintained treatment, the mortality was of 8 non-living patients (19.04%) and 34 live patients (80.95%). As a method of diagnosis it was observed that 27 patients were performed lumbar puncture (64 .. 28%), of the 27 patients were taken as a 100% and the finding in 25 people (95.59%) wasof clear liquid and only 2 with liquid xantocromico (7.4%), 18 patients (66.66%) had glucose values above and 50-75, and 24 presented values of proteinin liquid higher than 45) 88% and 62.96% had more than 2 leukocytes per field. Conclusion: We analyzed the clinical and laboratory characteristics and their increase in the last two years. Myalgias and arthralgia were the most frequent symptoms. There is no relation between the sex of the patients nor the age for the evolution of the disease and mortality. Lumbar puncture tests were performed on most patients resulting from an infectious type. Almost in its entirety treatment was used obtaining satisfactory results and minimum deaths.