{"id":2419,"date":"2011-07-26T13:05:50","date_gmt":"2011-07-26T13:05:50","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/neugbs\/"},"modified":"2025-05-13T20:28:50","modified_gmt":"2025-05-13T20:28:50","slug":"neugbs","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/neugbs\/","title":{"rendered":"Criterios Diagn\u00f3stico para el S\u00edndrome de Guillain-Barr\u00e9 (GBS)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>El s\u00edndrome de Guillain-Barr\u00e9 (GBS) o el s\u00edndrome de Landry-Guillain-Barr\u00e9-Strohl, tambi\u00e9n conocido como polineuropat\u00eda post-infecciosa o polineuritis idiop\u00e1tica aguda, es una enfermedad adquirida aguda, a menudo severa, enfermedad autoinmune monof\u00e1sica del sistema nervioso perif\u00e9rico (SNP). GBS se manifiesta con un cuadro cl\u00ednico caracterizado por la alteraci\u00f3n de la marcha, dolor, debilidad, par\u00e1lisis muscular sim\u00e9trica fl\u00e1cida r\u00e1pidamente ascendente, arreflexia con predominio distal (por compromiso de la neurona motora inferior), trastornos sensitivos, compromiso auton\u00f3mico variable, e incremento de las prote\u00ednas del l\u00edquido cefalorraqu\u00eddeo sin pleocitosis.<br \/>\n<!--more--><br \/>\n<strong><span class=\"hps\">Criterios de diagn\u00f3stico<\/span><\/strong><br \/>\n<span class=\"hps\">Evaluaci\u00f3n de los<\/span>\u00a0<span class=\"hps\">criterios de diagn\u00f3stico<\/span><span class=\"hps\">\u00a0actuales<\/span><span class=\"hps\">\u00a0para<\/span>\u00a0<span class=\"hps\">el s\u00edndrome de Guillain<\/span>-Barr\u00e9<br \/>\n<span class=\"hps\">Caracter\u00edsticas requeridas<\/span><\/p>\n<ul>\n<li><span class=\"hps\">Debilidad progresiva en<\/span>\u00a0<span class=\"hps\">brazos y piernas<\/span><\/li>\n<li><span class=\"hps\">Arreflexia<\/span>\u00a0<span class=\"hps\">(o<\/span>\u00a0<span class=\"hps\">hiporreflexia<\/span>).<\/li>\n<\/ul>\n<p><span class=\"hps\">Caracter\u00edsticas\u00a0<\/span><span class=\"hps\">de soporte<\/span><span class=\"hps\">\u00a0al<\/span>\u00a0<span class=\"hps\">diagn\u00f3stico<\/span><\/p>\n<ul>\n<li><span class=\"hps\">Progresi\u00f3n de<\/span>\u00a0<span class=\"hps\">los s\u00edntomas durante<\/span>\u00a0<span class=\"hps\">d\u00edas a 4 semanas<\/span><\/li>\n<li><span class=\"hps\">Simetr\u00eda<\/span>\u00a0<span class=\"hps\">relativa<\/span><\/li>\n<li><span class=\"hps\">S\u00edntomas<\/span><span class=\"hps\">\u00a0o signos<\/span>\u00a0<span class=\"hps\">sensitivos<\/span><span class=\"hps\">\u00a0leves<\/span><span class=\"hps\"><br \/>\n<\/span><\/li>\n<li><span class=\"hps\">Compromiso de nervio<\/span>\u00a0<span class=\"hps\">craneal<\/span>,\u00a0especialmente\u00a0debilidad facial\u00a0<span class=\"hps\">bilateral<\/span><\/li>\n<li><span class=\"hps\">Recuperaci\u00f3n<\/span>\u00a0<span class=\"hps\">a partir<\/span>\u00a0<span class=\"hps\">de 2 a 4 semanas<\/span>\u00a0<span class=\"hps\">despu\u00e9s que<\/span>\u00a0<span class=\"hps\">cesa<\/span><span class=\"hps\">\u00a0la progresi\u00f3n<\/span><\/li>\n<li><span class=\"hps\">Disfunci\u00f3n auton\u00f3mica<\/span><\/li>\n<li><span class=\"hps\">Ausencia de<\/span>\u00a0<span class=\"hps\">fiebre al inicio<\/span><\/li>\n<li><span class=\"short_text\"><span class=\"hps atn\">LCR t<\/span><\/span><span class=\"short_text\"><span class=\"hps\">\u00edpico<\/span><span class=\"hps atn\">\u00a0(<\/span>disociaci\u00f3n alb\u00famino-citol\u00f3gica)<\/span><\/li>\n<li><span class=\"hps\">EMG\/<\/span><span class=\"hps\">estudios de conducci\u00f3n<\/span>\u00a0<span class=\"hps\">nerviosa<\/span>\u00a0<span class=\"hps atn\">(<\/span>signos caracter\u00edsticos de\u00a0<span class=\"hps\">un proceso<\/span>\u00a0<span class=\"hps\">de desmielinizaci\u00f3n en<\/span>\u00a0<span class=\"hps\">los nervios perif\u00e9ricos<\/span>)<\/li>\n<\/ul>\n<p><span class=\"hps\">Caracter\u00edsticas<\/span>\u00a0<span class=\"hps\">que ponen en duda<\/span>\u00a0<span class=\"hps\">el diagn\u00f3stico<\/span><\/p>\n<ul>\n<li><span class=\"hps\">Debilidad<\/span>\u00a0<span class=\"hps\">asim\u00e9trica<\/span><\/li>\n<li><span class=\"hps\">Disfunci\u00f3n<\/span>\u00a0<span class=\"hps\">persistente<\/span><span class=\"hps\">\u00a0vesical<\/span><span class=\"hps\">\u00a0o<\/span><span class=\"hps\">\u00a0intestinal<\/span><\/li>\n<li><span class=\"hps\">Disfunci\u00f3n<\/span>\u00a0<span class=\"hps\">vesical o<\/span><span class=\"hps\">\u00a0intestinal<\/span>\u00a0<span class=\"hps\">en el inicio<\/span><\/li>\n<li>Presencia\u00a0&gt; 50\u00a0<span class=\"hps\">leucocitos mononucleares<\/span><span class=\"hps\">\/mm<\/span><sup><span class=\"hps\">3<\/span><\/sup>\u00a0<span class=\"hps\">o de<\/span>\u00a0<span class=\"hps\">leucocitos polimorfonucleares<\/span>\u00a0<span class=\"hps\">en el LCR<\/span><\/li>\n<li><span class=\"hps\">Distinto<\/span>\u00a0<span class=\"hps\">nivel sensitivo<\/span>.<\/li>\n<\/ul>\n<p><span class=\"hps\">Caracter\u00edsticas que<\/span>\u00a0<span class=\"hps\">descartan el diagn\u00f3stico<\/span><\/p>\n<ul>\n<li><span class=\"hps\">Abuso del h<\/span><span class=\"hps\">exacarbono<\/span><\/li>\n<li><span class=\"hps\">Metabolismo\u00a0<\/span><span class=\"hps\">anormal<\/span>\u00a0<span class=\"hps\">de la porfirina<\/span><\/li>\n<li><span class=\"hps\">Infecci\u00f3n<\/span>\u00a0<span class=\"hps\">a difteria<\/span>\u00a0<span class=\"hps\">reciente<\/span><\/li>\n<li><span class=\"hps\">Intoxicaci\u00f3n por plomo<\/span><\/li>\n<li><span class=\"hps\">Otras condiciones<\/span>\u00a0<span class=\"hps\">similares<\/span>:\u00a0<span class=\"hps\">poliomielitis<\/span>, botulismo,\u00a0<span class=\"hps\">par\u00e1lisis hist\u00e9rica<\/span>,\u00a0<span class=\"hps\">neuropat\u00eda t\u00f3xica<\/span>.<\/li>\n<\/ul>\n<p><strong><span class=\"hps\">El s\u00edndrome de Guillain<\/span>-Barr\u00e9\u00a0<span class=\"hps\">Escala de Incapacidad<\/span>\u00a0<span class=\"hps atn\">(<\/span>Hughes)<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 5.1282%; text-align: center;\">\u00a00<\/td>\n<td style=\"width: 94.7497%;\">\u00a0<span class=\"hps\">Saludable<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 5.1282%; text-align: center;\">\u00a01<\/td>\n<td style=\"width: 94.7497%;\">\u00a0<span class=\"hps\">S\u00edntomas<\/span>\u00a0<span class=\"hps\">o signos<\/span><span class=\"hps\">\u00a0menores<\/span><span class=\"hps\">\u00a0de<\/span>\u00a0<span class=\"hps\">neuropat\u00eda<\/span>\u00a0<span class=\"hps\">pero capaz de<\/span>\u00a0<span class=\"hps\">trabajo manual<\/span><span class=\"hps\">\/<\/span><span class=\"hps\">capaz de correr<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 5.1282%; text-align: center;\">\u00a02<\/td>\n<td style=\"width: 94.7497%;\">\u00a0<span class=\"hps\">Capaz de<\/span>\u00a0<span class=\"hps\">caminar sin<\/span>\u00a0<span class=\"hps\">ayuda<\/span>\u00a0<span class=\"hps\">de un bast\u00f3n<\/span>\u00a0<span class=\"hps\">(5m<\/span>\u00a0<span class=\"hps\">en<\/span>\u00a0<span class=\"hps\">un espacio abierto<\/span>), pero incapaz de\u00a0<span class=\"hps\">trabajo manual<\/span><span class=\"hps\">\/correr<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 5.1282%; text-align: center;\">\u00a03<\/td>\n<td style=\"width: 94.7497%;\">\u00a0<span class=\"hps\">Capaz de<\/span>\u00a0<span class=\"hps\">caminar con un bast\u00f3n<\/span>,\u00a0<span class=\"hps\">aparato o<\/span>\u00a0<span class=\"hps\">soporte (5<\/span><span class=\"hps\">m<\/span>\u00a0<span class=\"hps\">en<\/span>\u00a0<span class=\"hps\">un espacio abierto<\/span>)<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 5.1282%; text-align: center;\">\u00a04<\/td>\n<td style=\"width: 94.7497%;\">\u00a0<span class=\"hps\">Confinados<\/span>\u00a0<span class=\"hps\">a la cama<\/span>\u00a0<span class=\"hps\">o silla<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 5.1282%; text-align: center;\">\u00a05<\/td>\n<td style=\"width: 94.7497%;\">\u00a0<span class=\"hps\">Requieren ventilaci\u00f3n<\/span>\u00a0<span class=\"hps\">asistida (por<\/span>\u00a0<span class=\"hps\">cualquier parte del<\/span>\u00a0<span class=\"hps\">d\u00eda o de noche<\/span>)<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 5.1282%; text-align: center;\">\u00a06<\/td>\n<td style=\"width: 94.7497%;\">\u00a0<span class=\"hps\">Muerte<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Asbury AK, Cornblath DR. Assessment of current diagnostic criteria for Guillain-Barr\u00e9 syndrome. Ann Neurol. 1990;27 Suppl:S21-4.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/2194422\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Hughes RA, Swan AV, van Doorn PA. Intravenous immunoglobulin for Guillain-Barr\u00e9 syndrome. Cochrane Database Syst Rev. 2010;(6):CD002063.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20556755\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Jul 28, 2011.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El s\u00edndrome de Guillain-Barr\u00e9 (GBS) o el s\u00edndrome de Landry-Guillain-Barr\u00e9-Strohl, tambi\u00e9n conocido como polineuropat\u00eda post-infecciosa o polineuritis idiop\u00e1tica aguda, es una enfermedad adquirida aguda, a menudo severa, enfermedad autoinmune monof\u00e1sica del sistema nervioso perif\u00e9rico (SNP). GBS se manifiesta con un cuadro cl\u00ednico caracterizado por la alteraci\u00f3n de la marcha, dolor, debilidad, par\u00e1lisis muscular sim\u00e9trica fl\u00e1cida [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[1190,16,15,14,13,1189,1188,5,4],"class_list":["post-2419","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-barre","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-gbs","tag-guillain","tag-sindrome","tag-syndrome"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2419","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2419"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2419\/revisions"}],"predecessor-version":[{"id":8845,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2419\/revisions\/8845"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2419"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2419"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}