<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-5044</journal-id>
<journal-title><![CDATA[Revista mexicana de neurociencia]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. neurocienc.]]></abbrev-journal-title>
<issn>1665-5044</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Neurología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-50442021000100010</article-id>
<article-id pub-id-type="doi">10.24875/rmn.20000024</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Preservation of sural nerve in classic forms of Guillain-Barré in a Mexican health institution]]></article-title>
<article-title xml:lang="es"><![CDATA[Preservación del nervio sural en formas clasicas de Guillain-Barré en una institución de salud en México]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Piña]]></surname>
<given-names><![CDATA[Juan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabib]]></surname>
<given-names><![CDATA[Christopher]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estañol]]></surname>
<given-names><![CDATA[Bruno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chiquete]]></surname>
<given-names><![CDATA[Erwin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubiran Department of Neurology and Psychiatry ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubiran Department of Neurophysiology ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<volume>22</volume>
<numero>1</numero>
<fpage>10</fpage>
<lpage>14</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-50442021000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-50442021000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-50442021000100010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: The term sural sparing (SS) consists of the early finding in the nerve conduction studies (NCS) of patients with Guillain-Barré syndrome (GBS) of the preservation or normality of the sural nerve with abnormality in sensory nerves of thoracic limbs. Its pathophysiology lies in the greater vulnerability to demyelinating sensory damage in distal segments of the hand than proximally in the calf. The SS is highly specific of acute inflammatory demyelinating polyradiculoneuropathy (AIDP) and is occasionally found in acute motor/sensory axonal neuropathy (AMAN/AMSAN).  Objective: We aim to describe the prevalence of SS among the forms of GBS in patients hospitalized in our institute.  Materials and methods: We reviewed 61 cases of confirmed GBS (19 demyelinating, 25 axonal, and 17 unclassified forms) corresponding to the 1999-2017 period. Exclusion criteria were as follows: NCS report not available or performed 21 days after the onset of symptoms, chemotherapy in the past 2 years, and/or previous polyneuropathy. SS was defined as the preserved amplitude in sensory action potentials (SAPs) of the sural nerve with abnormal findings in median and/or ulnar nerve SAPs.  Results: Thirty patients (21 men, mean 45.5 ± 21.2 years) met the selection criteria, distributed in 12 AIDP, 3 Miller-Fisher syndromes, 9 AMAN, and 6 AMSAN. The NCS was performed 9.1 ± 6.0 days from debut. There were no significant differences in demographic variables or in the amplitude of SAPs between demyelinating and axonal forms. Two patients with AIDP presented SS (16.7%), which was not observed in any other form of GBS.  Conclusion: We conclude that, despite the high specificity of SS for AIDP, its low prevalence and the high prevalence of axonal forms in Mexican population suggest that SS is not a suitable electrophysiological screening parameter for differentiating forms of GBS.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: La preservación sural (PS) es muy específica de la polirradiculoneuropatía desmielinizante inflamatoria aguda (PDIA) y se encuentra de modo ocasional en la neuropatía axonal motora/sensorial aguda (NAM/NASA).  Objetivo: Describir la prevalencia de PS entre las formas del síndrome de Guillain-Barré (SGB) en pacientes hospitalizados en la institución de los autores.  Material y métodos: Se revisaron 61 casos de SGB confirmados (19 formas desmielinizantes, 25 axonales y 17 no clasificadas) correspondientes al período 1999-2017.  Resultados: No se observaron diferencias significativas en las variables demográficas o la amplitud de los potenciales de acción sensorial (PAS) entre las formas desmielinizantes y axo-nales. Dos pacientes con PDIA presentaron PS (16.7%), que no se observó en ninguna otra forma del SGB.  Conclusión: A pesar de la alta especificidad de PS para PDIA, su baja prevalencia y la elevada prevalencia de formas axonales en la población mexicana sugieren que la PS no es un parámetro de detección electrofisiológico adecuado para diferenciar las modalidades del SGB.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Sural nerve]]></kwd>
<kwd lng="en"><![CDATA[Guillain-Barré]]></kwd>
<kwd lng="en"><![CDATA[Sural sparing]]></kwd>
<kwd lng="en"><![CDATA[Acute inflammatory demyelinating polyradiculoneuropathy]]></kwd>
<kwd lng="es"><![CDATA[Nervio sural]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de Guillain-Barré]]></kwd>
<kwd lng="es"><![CDATA[Preservación sural]]></kwd>
<kwd lng="es"><![CDATA[PDIA]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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