Evidence map›Paper›PMID 33541995›Full record

ArticleBMJ case reports2021

Masquerading Guillain-Barré syndrome: uncommon, in-hospital presentation of Miller-Fisher syndrome shadowed by secondary diseases.

Viswanathan Pandurangan, Sujay Prabhath Dronamraju, Srinivasan Ramadurai, Preetam Arthur

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 98% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Viswanathan Pandurangan *General Medicine, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India.
Sujay Prabhath Dronamraju *General Medicine, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India sujayprabhathd@gmail.com.
Srinivasan RamaduraiGeneral Medicine, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India.
Preetam ArthurGeneral Medicine, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India.
Sri Ramachandra Institute of Higher Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Presentation of severe pain syndromes prior to onset of motor weakness is an uncommon but documented finding in patients with Guillain-Barré syndrome (GBS). Sciatica in GBS is a difficult diagnosis when patients present with acute radiculopathy caused by herniated disc or spondylolysis. A middle-aged woman was admitted for severe low back pain, symptomatic hyponatraemia, vomiting and constipation. On further investigation, she was diagnosed with radiculopathy, and appropriate treatment was initiated. Brief symptomatic improvement was followed by new-onset weakness in lower limbs, which progressed to involve upper limbs and right extraocular muscles. With progressive, ascending, new-onset motor and sensory deficits and laboratory evidence of demyelination by Nerve Conduction Study, a diagnosis of variant GBS was made. She was treated with intravenous immunoglobulin 2 g/kg over 5 days. The presentation of severe low back pain that was masking an existing aetiology and possible dysautonomia and the unilateral right extraocular muscles instead of bilateral make our case unique and rare.

Indexed as

Diagnosis, DifferentialBack PainFemaleGuillain-Barre SyndromeHospitalsHumansHyponatremiaImmunoglobulins, IntravenousLower ExtremityMiddle AgedMiller Fisher SyndromeOculomotor MusclesRadiculopathyImmunoglobulins, Intravenouscranial nervesdrugs: CNS (not psychiatric)motor neurone diseaseneurologyneuromuscular disease

Identifiers

PMID33541995
PMCPMC7868214
OpenAlexW3128538927

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.