| Title |
Long-term impact after fulminant Guillain-Barré syndrome, case report and literature review
|
|---|---|
| Published in |
International Medical Case Reports Journal, November 2016
|
| DOI | 10.2147/imcrj.s112050 |
| Pubmed ID | |
| Authors |
Alain Rougé, Jérémie Lemarié, Sébastien Gibot, Pierre-Edouard Bollaert |
| Abstract |
A 47-year-old man was admitted to the intensive care unit a few hours after presenting to emergency department with acute diplopia and dysphonia. Swallowing disorders and respiratory muscular weakness quickly required invasive ventilation. On day 3, the patient was in a "brain-death"-like state with deep coma and absent brainstem reflexes. Electroencephalogram ruled out brain death diagnosis as a paradoxical sleep trace was recorded. Cerebrospinal fluid analysis, electrophysiologic studies, and a recent history of diarrhea led to the diagnosis of Campylobacter jejuni-related fulminant Guillain-Barré syndrome (GBS) mimicking brain death. The outcome was favorable after long Intensive Care Unit and inpatient rehabilitation stays, despite persistent disability at 9 years follow-up. This case and the associated literature review of 34 previously reported fulminant GBS patients emphasize the importance of electrophysiological investigations during clinical brain-death states with no definite cause. Fulminant GBS has a worse outcome than "standard" GBS with higher rates of severe disability (about 50%). Long-term physiotherapy and specific rehabilitation programs appear essential to improve recovery. |
Mendeley readers
The data shown below were compiled from readership statistics for 81 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 81 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 12 | 15% |
| Student > Bachelor | 8 | 10% |
| Researcher | 7 | 9% |
| Student > Ph. D. Student | 7 | 9% |
| Other | 5 | 6% |
| Other | 17 | 21% |
| Unknown | 25 | 31% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 18 | 22% |
| Nursing and Health Professions | 11 | 14% |
| Neuroscience | 7 | 9% |
| Sports and Recreations | 4 | 5% |
| Agricultural and Biological Sciences | 3 | 4% |
| Other | 10 | 12% |
| Unknown | 28 | 35% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 December 2016.
All research outputs
#20,359,475
of 22,908,162 outputs
Outputs from International Medical Case Reports Journal
#300
of 375 outputs
Outputs of similar age
#269,215
of 311,689 outputs
Outputs of similar age from International Medical Case Reports Journal
#10
of 11 outputs
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So far Altmetric has tracked 375 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.4. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.