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Research ArticleOriginal Article
Open Access

The relationship between serum cystatin C levels and Hughes motor scale in Guillain-Barré syndrome

Mengying Chen, Jinming Shi, Jiaxin Fan, Hong Sun, Qingling Yao, Xiaodong Zhang, Shuang Du, Huiyang Qu, Yuxuan Cheng, Shuyin Ma, Meijuan Zhang and Shuqin Zhan
Neurosciences Journal July 2022, 27 (3) 175-180; DOI: https://doi.org/10.17712/nsj.2022.3.20210126
Mengying Chen
From the Department of Neurology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
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Jinming Shi
From the Department of Neurology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
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Jiaxin Fan
From the Department of Neurology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
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Hong Sun
From the Department of Neurology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
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Qingling Yao
From the Department of Neurology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
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Xiaodong Zhang
From the Department of Neurology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
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  • For correspondence: [email protected]
Shuang Du
From the Department of Neurology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
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Huiyang Qu
From the Department of Neurology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
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Yuxuan Cheng
From the Department of Neurology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
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Shuyin Ma
From the Department of Neurology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
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Meijuan Zhang
From the Department of Neurology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
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Shuqin Zhan
From the Department of Neurology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
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    Figure 1

    - The serum cysC value in Mild group vs. severe group.

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    Figure 2

    - Area under the ROC curve.

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    Table 1

    - Baseline characteristics and factors affecting GBS severity.

    VariablesTotal (n=101)Mild group (HMS≤3) (n=75)Severe group (HMS>3) (n=26)P-value
    n (%)
    Age (mean ± sd)50.61±1.7449.04±2.0055.15±3.390.124
    Male59(58.4)43(57.3)16(61.5)0.708
    Season
    Spring21(20.8)15(20.0)6(23.1)0.280
    Summer31(30.7)21(28.0)10(38.5)
    Autumn19(18.8)13(17.3)6(23.1)
    Winter30(29.7)26(34.7)4(15.4)
    Precursor events
    Diarrhea16(15.8)10(13.3)6(23.1)0.389
    Upper respiratory tract infection31(30.7)21(28.0)10(38.5)0.319
    Facial palsy16(15.8)12(16.0)4(15.4)0.984
    Bulbar palsy12(11.9)8(10.7)4(15.4)0.773
    Respiratory muscle palsy19(18.8)3(4.0)16(61.5)<0.001#
    Numbness or pain in the limbs43(42.6)36(48.0)7(26.9)0.061
    Urinary and fecal disorders5(5.0)4(5.3)1(3.8)0.409
    Weakened or disappeared tendon reflexes87(86.1)63(84)24(92.3)0.467
    Time to peak deficit (days), median (IQR)7(4-10)9(5-14)5(2-5)<0.001#
    Hyponatremia17(17.2)7(9.6)10(38.5)0.002#
    Serum cysC (mg/l), median (IQR)0.86(0.77-1.02)0.81(0.76-0.95)0.98(0.85-1.20)0.004#
    Anti-ganglioside antibody7(38.9)7(41.2)0(0.0)1.000
    Electrophysiology
    Demyelinating variety57(63.3)49(68.1)8(44.4)0.063
    Axonal variety24(26.7)14(19.4)10(55.6)0.005#
    F wave abnormality75(83.3)56(86.2)19(95.0)0.498
    Conduction block22(24.4)20(27.8)2(11.1)0.244
    CSF protein (mg/dl), median (IQR)0.74(0.49-1.09)0.74(0.47-0.97)0.89(0.58-1.34)0.225
    IVIG therapy76(75.2)51(68.0)25(96.2)0.004#
    Ventilatory support14(13.9)0(0.0)14(53.8)<0.001#
    • Mild group vs. Severe group *p<0.05, # p<0.01, GBS -Guillain–Barré syndrome

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    Table 2

    - Correlation of the Hughes motor scale and various factors.

    VariablesCorrelation coefficient. rP-value
    Respiratory muscle palsy0.612<0.001
    Time to peak deficit-0.3200.001
    Hyponatremia0.351<0.001
    Serum cysC0.3760.001
    Axonal variety0.415<0.001
    IVIG therapy0.328<0.001
    • cysC Cystatin C, IVIG intravenous immunoglobulin

    • View popup
    Table 3

    - Logistic regression analysis of the Hughes motor scale and various factors.

    VariablesBS.E.WaldpExp(B)95%Confidence interval
    Lower limitUpper limit
    Respiratory muscle palsy-4.6111.5329.0520.003# 0.0100.0000.200
    Time to peak deficit-0.3770.1585.6650.017*0.6860.5030.936
    Axonal variety-1.4381.0082.0340.1540.2370.0331.713
    Serum cysC 0.4950.2833.0680.045*1.6411.0432.854
    Serum sodium-0.2440.1005.9020.015*0.7840.6440.954
    Constant34.54714.1075.9970.01412.096  
    • *p<0.05, # p<0.01

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Neurosciences Journal: 27 (3)
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1 Jul 2022
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The relationship between serum cystatin C levels and Hughes motor scale in Guillain-Barré syndrome
Mengying Chen, Jinming Shi, Jiaxin Fan, Hong Sun, Qingling Yao, Xiaodong Zhang, Shuang Du, Huiyang Qu, Yuxuan Cheng, Shuyin Ma, Meijuan Zhang, Shuqin Zhan
Neurosciences Journal Jul 2022, 27 (3) 175-180; DOI: 10.17712/nsj.2022.3.20210126

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The relationship between serum cystatin C levels and Hughes motor scale in Guillain-Barré syndrome
Mengying Chen, Jinming Shi, Jiaxin Fan, Hong Sun, Qingling Yao, Xiaodong Zhang, Shuang Du, Huiyang Qu, Yuxuan Cheng, Shuyin Ma, Meijuan Zhang, Shuqin Zhan
Neurosciences Journal Jul 2022, 27 (3) 175-180; DOI: 10.17712/nsj.2022.3.20210126
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