Guillain-Barré syndrome in South-West Stockholm, 1973-1991, 3. Clinicoepidemiological subgroups

Acta Neurol Scand. 1996 Feb-Mar;93(2-3):175-83. doi: 10.1111/j.1600-0404.1996.tb00195.x.

Abstract

Using hierarchical cluster analysis, applied to 47 cases of Guillain-Barré Syndrome (GBS) incident in South-West Stockholm (SWS) during the period from January 1973 to June 1992, we identified three major clinicoepidemiological subgroups. The first subgroup, 25.5% of the cases (26.7 +/- 6.7 years), recorded a peak incidence at ages 20-29 years and presented significant differences from other subgroups, a high proportion of cases with onset at low age preceded by respiratory infection (83.3%) and with normal motor conduction velocity (50.0%). Also found, were less affected biological parameters, a rapidly progressive course and independence in gait at one month after onset. A second subgroup, 27.7% of cases, was severely affected, clinically and functionally. It consisted predominantly of young individuals (22.7 +/- 11.1 years), with a high incidence (69.2% of cases) in autumn. A third subgroup, comprising 40.4% of cases, was older (61.1 +/- 11.0 years) and, in general, also severely affected. The incidence of this form appeared to be invariant with time.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Cluster Analysis
  • Cross-Sectional Studies
  • Female
  • Humans
  • Incidence
  • Infant
  • Male
  • Middle Aged
  • Neurologic Examination
  • Polyradiculoneuropathy / classification
  • Polyradiculoneuropathy / diagnosis
  • Polyradiculoneuropathy / epidemiology*
  • Polyradiculoneuropathy / etiology
  • Seasons
  • Sweden / epidemiology
  • Urban Population / statistics & numerical data*