Diagnosis and management of Guillian Barre Syndrome in children and adolescents

Table3 :GBS disability scale (Hughes and Cornblath) (45)

0 - healthy

1 - minor symptoms or signs of neuropathy, but capable of manual work and running

2 - can walk without the aid of a stick for 5 m across an open space, but is not capable of manual work or running

3 - can walk with a stick, orthosis or support (5 m across an open space)

4 - bedridden or wheelchair-bound

5 - ventilation assistance required (for any part of the day or night)

6 – dead

Table 4:Medical Research Council (MRC) Scale for Manual Muscle Testing

5 - patient can maintain position against maximal resistance and through the entire physiological range of motion of the joint

4 - patient can maintain position against moderate resistance, and moves actively through the entire physiological range of motion of the joint

3 - patient cannot maintain position against resistance, but can move the extremity against gravity through the full range of motion

2 - patient can move the extremity through part of the physiological range of motion if gravity is eliminated

1 - muscle contraction can be detected by palpation if gravity is eliminated

0 - no contractions identifiable

Measures

Categories

Score

Days between onset of weakness and hospital admission

<7

4-7                                                  

<3

0

1

2

Facial and/or bulbar weakness at hospital admission

Absent

Present

0

1

MRC sum score at hospital admission

60-51

50-41

40-31

30-21

<20

0

1

2

3

4

EGRIS

NA

0-7