Factors contributing to delay in diagnosis of Guillain-Barré syndrome and impact on clinical outcome

Divyanshu Dubey, Marissa Kapotic, Matthew Freeman, Anshudha Sawhney, Julio C. Rojas, Worthy Warnack, Steven Vernino

Research output: Contribution to journalArticle

8 Scopus citations


Introduction: Heterogeneity of presenting symptoms makes the initial clinical diagnosis of Guillain-Barré syndrome (GBS) challenging. Methods: Observational retrospective study from 2 teaching hospitals (Parkland Memorial Hospital and University of Texas Southwestern University Hospital) between 2008 and 2013. Results: Sixty-nine GBS patients were identified. GBS was suspected on initial emergency department visit in only 49%. During first hospital encounter, 58% were evaluated by a neurologist. Neuropathic pain and presence of intact deep tendon reflexes were associated with delayed GBS diagnosis (P

Original languageEnglish (US)
Pages (from-to)384-387
Number of pages4
JournalMuscle and Nerve
Issue number3
Publication statusPublished - Mar 1 2016



  • Delay
  • Diagnosis
  • Emergency service
  • Guillain-Barré syndrome
  • Referral and consultation
  • Treatment

ASJC Scopus subject areas

  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)
  • Physiology

Cite this