Appropriate number of plasma exchanges in Guillain-Barré syndrome. The French Cooperative Group on Plasma Exchange in Guillain-Barré Syndrome.

Abstract:

:Plasma exchange (PE) is the standard treatment in Guillain-Barré syndrome (GBS) patients who have lost the ability to walk. The effect of exchanges before this stage and the optimal number of exchanges for the other patients are still unknown. We randomized 556 GBS patients according to severity and number of exchanges as follows: Zero versus 2 PEs for patients who could walk-with or without aid-but not run, or who could stand up unaided (mild group); 2 versus 4 PEs for patients who could not stand up unaided (moderate group); and 4 versus 6 PEs for mechanically ventilated patients (severe group). In the mild group, 2 PEs were more effective than none for time to onset of motor recovery (median, 4 vs 8 days, respectively). In the moderate group, 4 PEs were more beneficial than 2 for time to walk with assistance (median, 20 vs 24 days) and for 1-year full muscle-strength recovery rate (64% vs 46%). Six PEs were no more beneficial than 4 in the severe cases. Patients with mild GBS on admission should receive 2 PEs. Patients with moderate and severe forms should benefit from 2 further exchanges.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

doi

10.1002/ana.410410304

subject

Has Abstract

pub_date

1997-03-01 00:00:00

pages

298-306

issue

3

eissn

0364-5134

issn

1531-8249

journal_volume

41

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
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    abstract::The genetic analysis of simple Mendelian epilepsies remains a key strategy in advancing our understanding of epilepsy. In this article, we describe a new family epilepsy syndrome, partial epilepsy with pericentral spikes, which we map to chromosome 4p15. We distinguish it clinically, electrophysiologically, and geneti...

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    pub_type: 杂志文章

    doi:10.1002/ana.10221

    authors: Kinton L,Johnson MR,Smith SJ,Farrell F,Stevens J,Rance JB,Claudino AM,Duncan JS,Davis MB,Wood NW,Sander JW

    更新日期:2002-06-01 00:00:00

  • Cortical activation pattern during saccadic eye movements in humans: localization by focal cerebral blood flow increases.

    abstract::Regional cerebral blood flow (rCBF) was measured in human subjects during saccadic eye movements by a 254-channel dynamic gamma camera. Focal rCBF increases were repeatedly observed in an area within the middle precentral and premotor regions which corresponds to the frontal eye field in humans. Our findings suggest t...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410050112

    authors: Melamed E,Larsen B

    更新日期:1979-01-01 00:00:00

  • Regional distribution of protease-resistant prion protein in fatal familial insomnia.

    abstract::Protease-resistant prion protein, total prion protein, and glial fibrillary acidic protein were measured in various brain regions from 9 subjects with fatal familial insomnia. Six were homozygotes methionine/methionine at codon 129 (mean duration, 10.7 +/- 4 months) and 3 were heterozygotes methionine/valine (mean dur...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410380107

    authors: Parchi P,Castellani R,Cortelli P,Montagna P,Chen SG,Petersen RB,Manetto V,Vnencak-Jones CL,McLean MJ,Sheller JR

    更新日期:1995-07-01 00:00:00

  • A novel AbetaPP mutation exclusively associated with cerebral amyloid angiopathy.

    abstract::Mutations in AbetaPP cause deposition of Abeta amyloid fibrils in brain parenchyma and cerebral vessels, resulting in Alzheimer's disease (AD) and/or cerebral amyloid angiopathy (CAA). We report a novel mutation (L705V) within the Abeta sequence of AbetaPP in a family with autosomal dominant, recurrent intracerebral h...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20571

    authors: Obici L,Demarchi A,de Rosa G,Bellotti V,Marciano S,Donadei S,Arbustini E,Palladini G,Diegoli M,Genovese E,Ferrari G,Coverlizza S,Merlini G

    更新日期:2005-10-01 00:00:00

  • Impaired visual search in drivers with Parkinson's disease.

    abstract:OBJECTIVE:To assess the ability for visual search and recognition of roadside targets and safety errors during a landmark and traffic sign identification task in drivers with Parkinson's disease (PD). METHODS:Seventy-nine drivers with PD and 151 neurologically normal older adults underwent a battery of visual, cogniti...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20958

    authors: Uc EY,Rizzo M,Anderson SW,Sparks J,Rodnitzky RL,Dawson JD

    更新日期:2006-10-01 00:00:00

  • In vivo butyrylcholinesterase activity is not increased in Alzheimer's disease synapses.

    abstract:OBJECTIVE:We tested the premise that cholinesterase inhibitor therapy should target butyrylcholinesterase (BuChE) in Alzheimer's disease (AD), not acetylcholinesterase (AChE) alone, because both enzymes hydrolyze acetylcholine, and BuChE is increased in AD cerebral cortex. METHODS:To examine this issue in vivo, we qua...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20672

    authors: Kuhl DE,Koeppe RA,Snyder SE,Minoshima S,Frey KA,Kilbourn MR

    更新日期:2006-01-01 00:00:00

  • Dopamine agonists and neuroprotection in Parkinson's disease.

    abstract::There is increasing interest in the potential of dopamine agonists to provide a neuroprotective effect and to alter the natural course of levodopa-treated Parkinson's disease (PD). Theoretically, such a protective effect might derive from (a) a levodopa sparing effect, (b) stimulation dopamine autoreceptors resulting ...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.410440725

    authors: Olanow CW,Jenner P,Brooks D

    更新日期:1998-09-01 00:00:00

  • Thalamic and extrathalamic mechanisms of consciousness after severe brain injury.

    abstract:OBJECTIVE:What mechanisms underlie the loss and recovery of consciousness after severe brain injury? We sought to establish, in the largest cohort of patients with disorders of consciousness (DOC) to date, the link between gold standard clinical measures of awareness and wakefulness, and specific patterns of local brai...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.24423

    authors: Lutkenhoff ES,Chiang J,Tshibanda L,Kamau E,Kirsch M,Pickard JD,Laureys S,Owen AM,Monti MM

    更新日期:2015-07-01 00:00:00

  • Detection of isolated cerebrovascular beta-amyloid with Pittsburgh compound B.

    abstract::Imaging of cerebrovascular beta-amyloid (cerebral amyloid angiopathy) is complicated by the nearly universal overlap of this pathology with Alzheimer's pathology. We performed positron emission tomographic imaging with Pittsburgh Compound B on 42-year-old man with early manifestations of Iowa-type hereditary cerebral ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.21528

    authors: Greenberg SM,Grabowski T,Gurol ME,Skehan ME,Nandigam RN,Becker JA,Garcia-Alloza M,Prada C,Frosch MP,Rosand J,Viswanathan A,Smith EE,Johnson KA

    更新日期:2008-11-01 00:00:00

  • Oxidative stress in SEPN1-related myopathy: from pathophysiology to treatment.

    abstract:OBJECTIVE:Mutations of the selenoprotein N gene (SEPN1) cause SEPN1-related myopathy (SEPN1-RM), a novel early-onset muscle disorder formerly divided into four different nosological categories. Selenoprotein N (SelN) is the only selenoprotein involved in a genetic disease; its function being unknown, no treatment is av...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.21644

    authors: Arbogast S,Beuvin M,Fraysse B,Zhou H,Muntoni F,Ferreiro A

    更新日期:2009-06-01 00:00:00

  • Complex I defect in muscle from patients with Huntington's disease.

    abstract::We found a variable defect of complex I of the mitochondrial respiratory chain, ranging in severity from 25% to 63% of control values, in muscle of patients with Huntington's disease (HD). The most severe defect was observed in the patient with the greatest expansion of CAG triplets. Muscle morphology showed myopathic...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410430321

    authors: Arenas J,Campos Y,Ribacoba R,Martín MA,Rubio JC,Ablanedo P,Cabello A

    更新日期:1998-03-01 00:00:00

  • Intracranial hypertension associated with unruptured cerebral arteriovenous malformations.

    abstract::Only 6 patients with intracranial hypertension associated with unruptured cerebral arteriovenous malformations have been reported. We report 6 additional patients seen at the Cleveland Clinic during the past 10 years. The average age was 28 years (range, 19-44 years); 4 were women. Symptoms and signs included papilled...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.410270504

    authors: Chimowitz MI,Little JR,Awad IA,Sila CA,Kosmorsky G,Furlan AJ

    更新日期:1990-05-01 00:00:00

  • Alexia and left homonymous hemianopia in a non-right-hander.

    abstract::A non-right-handed patient developed alexia without agraphia from a right occipital lobe infarction. An intracarotid amobarbital test showed left hemispheric dominance for speech. The cause of alexia in this patient could not be explained simply by the accepted disconnection hypothesis, which proposes that speech, han...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410030617

    authors: Erkulvrawatr S

    更新日期:1978-06-01 00:00:00

  • Thirst, resetting of the osmostat, and water intoxication following encephalitis.

    abstract::A young man developed pathological thirst and hyperdipsia, hyperphagia, disordered temperature regulation, a lowered threshold for aggressive behavior, apathy, impaired memory, and seizures following encephalitis. He had marked hyponatremia. Bouts of water drinking produced water intoxication and precipitated status e...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410130217

    authors: Howe JG,Penney MD,Currie S,Morgan D

    更新日期:1983-02-01 00:00:00

  • Alternating skew on lateral gaze (bilateral abducting hypertropia).

    abstract::We report thirty-three patients with alternating skew deviation on lateral gaze. The right eye was hypertropic in right gaze, and the left eye was hypertropic in left gaze. Most patients had associated downbeat nystagmus and ataxia and were diagnosed as having lesions of the cerebellar pathways or the cervicomedullary...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410230213

    authors: Moster ML,Schatz NJ,Savino PJ,Benes S,Bosley TM,Sergott RC

    更新日期:1988-02-01 00:00:00

  • Prospective, open-label safety study of intravenous recombinant tissue plasminogen activator in wake-up stroke.

    abstract:OBJECTIVE:It is estimated that one of four ischemic strokes are noticed upon awakening and are not candidates for intravenous recombinant tissue plasminogen activator (rtPA) because their symptoms are >3 hours from last seen normal (LSN). We tested the safety of rtPA in a multicenter, single-arm, prospective, open-labe...

    journal_title:Annals of neurology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1002/ana.24700

    authors: Barreto AD,Fanale CV,Alexandrov AV,Gaffney KC,Vahidy FS,Nguyen CB,Sarraj A,Rahbar M,Grotta JC,Savitz SI,Wake-Up Stroke Investigators.

    更新日期:2016-08-01 00:00:00

  • Mutational analysis of familial and sporadic hyperekplexia.

    abstract::Hyperekplexia is a rare, autosomal dominant neurological disorder characterized by hypertonia, especially in infancy, and by an exaggerated startle response. This disorder is caused by mutations in the alpha 1 subunit of the inhibitory glycine receptor (GLRA1). We previously reported two GLRA1 point mutations detected...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410380115

    authors: Shiang R,Ryan SG,Zhu YZ,Fielder TJ,Allen RJ,Fryer A,Yamashita S,O'Connell P,Wasmuth JJ

    更新日期:1995-07-01 00:00:00

  • Human immunodeficiency virus infection of dorsal root ganglion neurons detected by polymerase chain reaction in situ hybridization.

    abstract::A predominantly sensory peripheral neuropathy is common with human immunodeficiency virus (HIV) infection, but the cause is unknown. Formalin-fixed dorsal root ganglia (DRG), obtained at postmortem from patients with neuropathy and HIV infection and from control subjects, were examined for the presence of HIV DNA by u...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410420315

    authors: Brannagan TH 3rd,Nuovo GJ,Hays AP,Latov N

    更新日期:1997-09-01 00:00:00

  • Focal cortical myoclonus and rolandic cortical dysplasia: clarification by magnetic resonance imaging.

    abstract::Focal cortical myoclonus is rare. Obvious causes include tumor or atrophy involving the motor strip, but in some cases no cause is apparent. We present 4 patients who started to have focal myoclonus in childhood. All had focal motor seizures as well, and one had recurrent focal motor status epilepticus. All 4 had a mi...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410230402

    authors: Kuzniecky R,Berkovic S,Andermann F,Melanson D,Olivier A,Robitaille Y

    更新日期:1988-04-01 00:00:00

  • Impaired hypothalamus-pituitary-adrenal axis activity and more severe multiple sclerosis with hypothalamic lesions.

    abstract::In this postmortem study, we investigated the relationship between multiple sclerosis (MS) lesions in the hypothalamus and the state of activity of corticotropin-releasing hormone (CRH)-producing neurons that control the hypothalamus-pituitary-adrenal (HPA) axis. A high incidence (15/16) of MS lesions was found in the...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10766

    authors: Huitinga I,Erkut ZA,van Beurden D,Swaab DF

    更新日期:2004-01-01 00:00:00

  • Epstein-Barr virus meningoencephalitis with a lymphoma-like response in an immunocompetent host.

    abstract::We report the clinical and neuropathological findings in an immunocompetent 19-year-old patient with a fatal acute Epstein-Barr virus (EBV) meningoencephalitis and a lymphoma-like B-lymphocyte response. Our results suggest that an immunotoxic rather than direct viral neuronal invasion mediates brain damage in EBV ence...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/1531-8249(199905)45:5<659::aid-ana16>3.0.c

    authors: Schellinger PD,Sommer C,Leithäuser F,Schwab S,Storch-Hagenlocher B,Hacke W,Kiessling M

    更新日期:1999-05-01 00:00:00

  • Proteolytic stress: a unifying concept for the etiopathogenesis of Parkinson's disease.

    abstract::The etiopathogenesis of Parkinson's disease (PD) has been elusive. Recently, several lines of evidence have converged to suggest that defects in the ubiquitin-proteasome system and proteolytic stress underlie nigral pathology in both familial and sporadic forms of the illness. In support of this concept, mutations in ...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.10512

    authors: McNaught KS,Olanow CW

    更新日期:2003-01-01 00:00:00

  • Differential effects of deep brain stimulation target on motor subtypes in Parkinson's disease.

    abstract:OBJECTIVE:The Veterans Administration Cooperative Studies Program #468, a multicenter study that randomized Parkinson's disease (PD) patients to either subthalamic nucleus (STN) or globus pallidus internus (GPi) deep brain stimulation (DBS), found that stimulation at either target provided similar overall motoric benef...

    journal_title:Annals of neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/ana.24374

    authors: Katz M,Luciano MS,Carlson K,Luo P,Marks WJ Jr,Larson PS,Starr PA,Follett KA,Weaver FM,Stern MB,Reda DJ,Ostrem JL,CSP 468 study group.

    更新日期:2015-04-01 00:00:00

  • Preservation of hypothalamic dopaminergic neurons in Parkinson's disease.

    abstract::The integrity of the hypothalamic neuroendocrine dopaminergic neurons in Parkinson's disease was assessed by comparing the numbers and distribution of melanin-pigmented neurons in the arcuate and periventricular nuclei in 7 parkinsonian and 5 normal brains. No significant differences were observed. In contrast to theo...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410180507

    authors: Matzuk MM,Saper CB

    更新日期:1985-11-01 00:00:00

  • Correlations between monthly enhanced MRI lesion rate and changes in T2 lesion volume in multiple sclerosis.

    abstract::Magnetic resonance imaging (MRI) provides a powerful tool for assessing disease activity in multiple sclerosis (MS), and its role as a surrogate marker for monitoring treatment efficacy is now becoming established. The most commonly used MRI parameters in treatment trials are (1) monthly gadolinium-enhanced MRI, with ...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.410430311

    authors: Molyneux PD,Filippi M,Barkhof F,Gasperini C,Yousry TA,Truyen L,Lai HM,Rocca MA,Moseley IF,Miller DH

    更新日期:1998-03-01 00:00:00

  • Impaired glial glutamate transport in a mouse tuberous sclerosis epilepsy model.

    abstract::Excessive astrocytosis in cortical tubers in tuberous sclerosis complex (TSC) suggests that astrocytes may be important for epileptogenesis in TSC. We previously demonstrated that astrocyte-specific Tsc1 gene inactivation in mice (Tsc1 cKO mice) results in progressive epilepsy. Here, we report that glutamate transport...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10648

    authors: Wong M,Ess KC,Uhlmann EJ,Jansen LA,Li W,Crino PB,Mennerick S,Yamada KA,Gutmann DH

    更新日期:2003-08-01 00:00:00

  • No evidence for genetic association or linkage of the cathepsin D (CTSD) exon 2 polymorphism and Alzheimer disease.

    abstract::Two recent case-control studies have suggested a strong association of a missense polymorphism in exon 2 of the cathepsin D gene (CTSD) and Alzheimer disease (AD). However, these findings were not confirmed in another independent study. We analyzed this polymorphism in two large and independent AD study populations an...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/1531-8249(200101)49:1<114::aid-ana18>3.0.c

    authors: Bertram L,Guénette S,Jones J,Keeney D,Mullin K,Crystal A,Basu S,Yhu S,Deng A,Rebeck GW,Hyman BT,Go R,McInnis M,Blacker D,Tanzi R

    更新日期:2001-01-01 00:00:00

  • Newborn brain weight in relation to maturity, sex, and race.

    abstract::Fresh brain weight, gestational age, body weight, sex, and race were collected from autopsy records of 782 newborns over a 10-year period. The brain weight of the mature newborn does not differ between males and females or between white and black infants. For the premature, however, brain weight is heavier in white ma...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410100308

    authors: Ho KC,Roessmann U,Hause L,Monroe G

    更新日期:1981-09-01 00:00:00

  • Nonconvulsive status epilepticus following cerebral angiography.

    abstract::A 64-year-old man developed lethargy and aphasia immediately following cerebral arteriography with iothalamate meglumine. An electroencephalogram showed continuous epileptiform activity. The patient was treated with intravenous phenytoin with complete resolution of clinical symptoms and electroencephalographic epilept...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410250217

    authors: Vickrey BG,Bahls FH

    更新日期:1989-02-01 00:00:00

  • Therapeutic Drug Monitoring of Newer Antiepileptic Drugs: A Randomized Trial for Dosage Adjustment.

    abstract:OBJECTIVE:Therapeutic drug monitoring (TDM) of antiepileptic drugs (AEDs) is widely established for older generation AEDs, whereas there is limited evidence about newer AEDs. Our aim is to assess the benefit of TDM of newer generation AEDs in epilepsy. METHODS:We performed a randomized, controlled trial comparing syst...

    journal_title:Annals of neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/ana.25641

    authors: Aícua-Rapún I,André P,Rossetti AO,Ryvlin P,Hottinger AF,Decosterd LA,Buclin T,Novy J

    更新日期:2020-01-01 00:00:00