CSF neurofilament levels: a potential prognostic marker in Guillain-Barré syndrome.

Petzold, A; Hinds, N; Murray, N M F; Hirsch, N P; Grant, D; Keir, G; Thompson, E J; Reilly, M M · Neurology · 2006

prospective_cohort · Level II

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Abstract

Long-term morbidity from Guillain-Barré syndrome (GBS) is caused by axonal damage. This prospective study demonstrated that neurofilaments (NfHs), a biomarker for axonal damage, were of prognostic value in GBS. CSF NfH levels correlated with the F score and Medical Research Council summed score and were higher in patients with neurophysiologic evidence of axonal degeneration compared to those without. Pathologically high CSF NfH levels (>0.73 ng/mL) predicted worse motor and functional outcome.

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