Introduction: GBS (Gullian Barre Syndrome) is acquired autoimmune post-infectious polyneuropathy, monophasic disease but can have long-standing, troublesome deficits. Clinicians worldwide equate improvement to independent ambulation without respiratory support. There is scarcity of data regarding residual hand function. We attempted to study outcome in terms of fine motor movements and dexterity affection in these. Materials and methods: All diagnosed cases of GBS were enrolled, offered acute care and then followed up on OPD basis for next 6 month post discharge. Disability was assessed quantitatively by ONLS (overall neuropathy limitation scale score) and GBS Disability Score, applied at discharge and at 6months on OPD basis. Results: Fifty-two GBS patients were admitted with a mean age of 7.6years (1y-17y). The male: female ratio was 3:1. 46% (24) patients required ventilatory support. Average duration of hospital stay was 7days and 32 days for ventilated and non-ventilated patients respectively. The GBS disability score >4 was present in 55.7% while it reduced to 9.6% at 6months. The arm score >3 of the ONLS was present in 57.6% and 40.3% patients at discharge and at 6months follow-up while leg score of >3 was seen in 92.3% and 21.1% respectively. There was statistically significant affection of hand function (p-value<0.05) compared to leg function in these patients. Conclusion: GBS affected patients have long term fine motor disability affecting the dexterity of child. Thus, a routine assessment of the fine motor functional capability is of utmost importance to realize the long-term outcome of this disease.

Ashna Kumar
All India Institute of Medical Sciences, Jodhpur
India

Lokesh Saini
All India Institute of Medical Sciences, Jodhpur
India

Sarbesh Tiwari
All India Institute of Medical Sciences, Jodhpur
India

Diasy Khera
All India Institute of Medical Sciences, Jodhpur
India

Bharat Choudhary
All India Institute of Medical Sciences, Jodhpur
India

Jagdish Prasad Goyal
All Inia Institute of Medical Sciences, Jodhpur
India

Kuldeep Singh
All India Institute of Medical Sciences, Jodhpur
India