Anti-GQ1b antibody as a factor predictive of mechanical ventilation in Guillain-Barré syndrome

Neurology. 2004 Mar 9;62(5):821-4. doi: 10.1212/01.wnl.0000113718.27729.43.

Abstract

Compared with 87 unventilated patients with Guillain-Barré syndrome (GBS), 44 ventilated patients with GBS more frequently had multiple cranial nerve involvement (91 vs 50%; p < 0.001) and IgG anti-GQ1b antibody (27 vs 8%; p = 0.006). In GBS patients without ophthalmoparesis, the presence of IgG anti-GQ1b antibody was associated with respiratory failure (12 [3/25] vs 0% [0/67]; p = 0.04). The presence of the antibody may be a factor predictive of respiratory failure in GBS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antibodies, Anti-Idiotypic / immunology*
  • Disease Progression
  • Female
  • Gangliosides / immunology*
  • Guillain-Barre Syndrome / complications
  • Guillain-Barre Syndrome / immunology*
  • Guillain-Barre Syndrome / physiopathology*
  • Humans
  • Immunoglobulin G / immunology
  • Male
  • Middle Aged
  • Respiration, Artificial*
  • Respiratory Insufficiency / etiology*
  • Respiratory Insufficiency / immunology*

Substances

  • Antibodies, Anti-Idiotypic
  • Gangliosides
  • Immunoglobulin G
  • GQ1b ganglioside