Evidence map›Paper›PMID 40799081›Full record

ArticleEuropean journal of neurology2025

Efgartigimod as Add-On Treatment in Refractory Guillain-Barré Syndrome: A Case Report.

P Ripellino, D Dinacci, M Conti, G Galli, L Frediani, P Rossi, C Gobbi

Abstract readCase Reports
In one paragraph

Article in European journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. 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

7 authors.

P RipellinoDepartment of Neurology, Neurocenter of Southern Switzerland EOC, Ospedale Regionale di Lugano, Lugano, Switzerland.ORCID 0000-0002-8662-9656
D DinacciDepartment of Neurology, Neurocenter of Southern Switzerland EOC, Ospedale Regionale di Lugano, Lugano, Switzerland.
M ContiFaculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland.
G GalliDepartment of Neurology, Neurocenter of Southern Switzerland EOC, Ospedale Regionale di Lugano, Lugano, Switzerland.
L FredianiClinica Hildebrand Centro di riabilitazione, Brissago, Switzerland.
P RossiFaculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland.
C GobbiDepartment of Neurology, Neurocenter of Southern Switzerland EOC, Ospedale Regionale di Lugano, Lugano, Switzerland.ORCID 0000-0002-7554-0664

Funding

Fondazione Balli
6 · The paper itself

Abstract

BACKGROUND AND

aimsGuillain-Barré Syndrome (GBS) is an autoimmune disease that can cause flaccid tetraplegia. Efgartigimod, a monoclonal antibody that inhibits the neonatal receptor (FcRn), increases IgG degradation.

methodsA 60-year-old lady was admitted with acute flaccid tetraparesis, requiring mechanical ventilation within 12 h. Nerve conduction studies were compatible with acute inflammatory demyelinating polyneuropathy (AIDP). No anti-ganglioside or anti-nodal/paranodal antibody could be identified in serum. Despite receiving standard treatment with plasma exchange (PLEX), the patient remained severely tetraparetic, bedridden, and mechanically ventilated. Human immunoglobulin 2 g/kg was given, without obtaining significant improvement. One month after disease onset, the patient received efgartigimod (10 mg/kg intravenously) weekly for four doses.

resultsWe report the results of this treatment on muscle strength, patient disability, and nerve conduction studies. The tolerability profile was satisfactory, and the patient was able to walk alone after 4 months from disease onset.

interpretationThe potential role of efgartigmod in GBS should be explored in future clinical trials.

Indexed as

Antibodies, MonoclonalGuillain-Barre SyndromeFemaleHumansMiddle AgedNeural ConductionTreatment OutcomeAntibodies, MonoclonalAIDPefgartigimodFcRn inhibitorGBSguillain–Barré syndromeIgGimmunoglobulinplasma exchangePLEXrefractory

Identifiers

PMID40799081
PMCPMC12344377

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.