Evidence map›Paper›PMID 37294323›Full record

ArticleJournal of neurology2023

Clinical features and maternal and fetal outcomes in women with Guillain-Barré syndrome in pregnancy.

Nolwenn Krief, René Gabriel, Cécile Cauquil, David Adams, Guillaume Fargeot, Thierry Maisonobe, David Osman, Matthieu Schmidt, Jean-Baptiste Chanson, Kevin Bigaut and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
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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

19 authors at 13 institutions in 2 countries.

Nolwenn KriefNeurology Department, APHP, CHU de Bicêtre, 94276, Le Kremlin-Bicêtre, France.ORCID http://orcid.org/0000-0001-8891-6571
René GabrielObstetrics and Gynecology Department, CHU de Reims, Reims, France.
Cécile CauquilNeurology Department, APHP, CHU de Bicêtre, 94276, Le Kremlin-Bicêtre, France.
David AdamsNeurology Department, APHP, CHU de Bicêtre, 94276, Le Kremlin-Bicêtre, France.
Guillaume FargeotNeurology Department, APHP, CHU Pitié-Salpêtrière, 75013, Paris, France.
Thierry MaisonobeNeurology Department, APHP, CHU Pitié-Salpêtrière, 75013, Paris, France.
David OsmanIntensive Care Department, APHP, CHU de Bicêtre, 94276, Le Kremlin-Bicêtre, France.
Matthieu SchmidtService de Médecine Intensive Réanimation, Institut de Cardiologie, APHP, Sorbonne Université Hôpital Pitié-Salpêtrière, Paris, France.
Jean-Baptiste ChansonDepartment of Neurology, Strasbourg University Hospital, Strasbourg, France.
Kevin BigautDepartment of Neurology, Strasbourg University Hospital, Strasbourg, France.
Guilhem SoleDepartment of Neurology and Neuromuscular Diseases, CHU Bordeaux, University of Bordeaux, Bordeaux, France.
Céline TardDepartment of Neurology, Centre Hospitalo-Universitaire (CHU) de Lille, Centre de Référence des Maladies Neuromusculaires Nord/Est/Ile-de-France, U1172, Lille, France.
Guillaume NicolasDepartment of Neurology, Hôpital Raymond Poincaré, Université Versailles-Saint-Quentin-en-Yvelines, Garches, France.
Yann PereonDepartment of Clinical Neurophysiology, CHU Nantes, Nantes, France.
Karine AureService de Neurophysiologie, Hôpital Foch, Suresnes, France.
Emmeline LagrangeDepartment of Neurology, Grenoble University Hospital, Grenoble, France.
Mathilde LefilliatreDepartment of Neurology, Caen University Hospital, Caen, France.
Marc-Antoine LabeyrieDepartment of Neuroradiology, Lariboisière Hospital, Paris, France.
Andoni Echaniz-LagunaNeurology Department, APHP, CHU de Bicêtre, 94276, Le Kremlin-Bicêtre, France. andoni.echaniz-laguna@aphp.fr.
Inserm · FRSorbonne Université · FRUniversité de Strasbourg · FRBicêtre Hospital · FRCentre Hospitalier Universitaire de Grenoble · FRCentre Hospitalier Universitaire de Lille · FRCentre Hospitalier Universitaire de Nantes · FRCentre Hospitalier Universitaire de Reims · FRHôpital Foch · FRHôpital Lariboisière · FRHôpital Raymond-Poincaré · FRUniversité de Bordeaux · FRUniversité de Caen Normandie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuillain-Barre syndrome (GBS) is an acute inflammatory polyradiculoneuropathy rarely observed during pregnancy.

methodsIn this retrospective study, we analyzed the characteristics of pregnant women with GBS (pGBS) diagnosed in French University Hospitals in the 2002-2022 period and compared them with a reference group of same-age non-pregnant women with GBS (npGBS) identified in the same institutions & timeframe.

resultsWe identified 16 pGBS cases. Median age was 31 years (28-36), and GBS developed in the 1st, 2nd, and 3rd trimester in 31%, 31% and 38% of cases respectively. A previous infection was identified in six cases (37%), GBS was demyelinating in nine cases (56%), and four patients (25%) needed respiratory assistance. Fifteen patients (94%) were treated with intravenous immunoglobulins, and neurological recovery was complete in all cases (100%). Unscheduled caesarean section was needed in five cases (31%), and two fetuses (12.5%) died because of cytomegalovirus (CMV) infection (1 case) and HELLP (Hemolysis, Elevated Liver enzymes and Low Platelets) syndrome (1 case). In comparison with a reference group of 18 npGBS women with a median age of 30 years (27-33), pGBS patients more frequently had CMV infection (31% vs 11%), had a prolonged delay between GBS onset and hospital admission (delay > 7 days: 57% vs 12%), more often needed ICU admission (56% vs 33%) and respiratory assistance (25% vs 11%), and more often presented with treatment-related fluctuations (37% vs 0%).

conclusionsThis study shows GBS during pregnancy is a severe maternal condition with significant fetal mortality.

Indexed as

Cytomegalovirus InfectionsGuillain-Barre SyndromeAdultCesarean SectionFemaleFetusHumansPregnancyRetrospective StudiesCytomegalovirusGuillain-Barré syndromePregnancy

Identifiers

PMID37294323
PMCPMC10252168
OpenAlexW4379967376

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.