{"id":"https://openalex.org/W7223920550","doi":"https://doi.org/10.9734/ajorrin/2026/v9i1199","title":"Ischemic Stroke after Therapeutic Plasma Exchange in a Patient with Guillain\u2013Barr\u00e9 Syndrome: A Case Report","display_name":"Ischemic Stroke after Therapeutic Plasma Exchange in a Patient with Guillain\u2013Barr\u00e9 Syndrome: A Case Report","publication_year":2026,"publication_date":"2026-10-27","ids":{"openalex":"https://openalex.org/W7223920550","doi":"https://doi.org/10.9734/ajorrin/2026/v9i1199"},"language":"en","primary_location":{"id":"doi:10.9734/ajorrin/2026/v9i1199","doi":"https://doi.org/10.9734/ajorrin/2026/v9i1199","is_oa":true,"landing_page_url":"https://doi.org/10.9734/ajorrin/2026/v9i1199","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Journal of Research and Reports in Neurology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.9734/ajorrin/2026/v9i1199","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5133964484","display_name":"Subhajit Das","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I158908536","display_name":"Nil Ratan Sircar Medical College and Hospital","ror":"https://ror.org/04zpy9a42","country_code":"IN","type":"education","lineage":["https://openalex.org/I158908536","https://openalex.org/I226431899"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Subhajit Das","raw_affiliation_strings":["Department of General Medicine, Nil Ratan Sircar Medical College, Kolkata:700014, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Medicine, Nil Ratan Sircar Medical College, Kolkata:700014, India","institution_ids":["https://openalex.org/I158908536"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133954223","display_name":"Tushar Modak","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I158908536","display_name":"Nil Ratan Sircar Medical College and Hospital","ror":"https://ror.org/04zpy9a42","country_code":"IN","type":"education","lineage":["https://openalex.org/I158908536","https://openalex.org/I226431899"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Tushar Modak","raw_affiliation_strings":["Department of General Medicine, Nil Ratan Sircar Medical College, Kolkata:700014, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Medicine, Nil Ratan Sircar Medical College, Kolkata:700014, India","institution_ids":["https://openalex.org/I158908536"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159985563","display_name":"Gourav Chattopadhyay","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I158908536","display_name":"Nil Ratan Sircar Medical College and Hospital","ror":"https://ror.org/04zpy9a42","country_code":"IN","type":"education","lineage":["https://openalex.org/I158908536","https://openalex.org/I226431899"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Gourav Chattopadhyay","raw_affiliation_strings":["Department of General Medicine, Nil Ratan Sircar Medical College, Kolkata:700014, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Medicine, Nil Ratan Sircar Medical College, Kolkata:700014, India","institution_ids":["https://openalex.org/I158908536"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058509743","display_name":"Badal Kumar Sahu","orcid":"https://orcid.org/0000-0001-6261-6642","observed_orcids":["https://orcid.org/0000-0001-6261-6642"]},"institutions":[{"id":"https://openalex.org/I158908536","display_name":"Nil Ratan Sircar Medical College and Hospital","ror":"https://ror.org/04zpy9a42","country_code":"IN","type":"education","lineage":["https://openalex.org/I158908536","https://openalex.org/I226431899"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Badal Kumar Sahu","raw_affiliation_strings":["Department of General Medicine, Nil Ratan Sircar Medical College, Kolkata:700014, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Medicine, Nil Ratan Sircar Medical College, Kolkata:700014, India","institution_ids":["https://openalex.org/I158908536"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5038058909","display_name":"Arijit Sinha","orcid":"https://orcid.org/0000-0001-8667-4601","observed_orcids":["https://orcid.org/0000-0001-8667-4601"]},"institutions":[{"id":"https://openalex.org/I158908536","display_name":"Nil Ratan Sircar Medical College and Hospital","ror":"https://ror.org/04zpy9a42","country_code":"IN","type":"education","lineage":["https://openalex.org/I158908536","https://openalex.org/I226431899"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Arijit Sinha","raw_affiliation_strings":["Department of General Medicine, Nil Ratan Sircar Medical College, Kolkata:700014, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Medicine, Nil Ratan Sircar Medical College, Kolkata:700014, India","institution_ids":["https://openalex.org/I158908536"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I158908536"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.82026962,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"1","first_page":"457","last_page":"463"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11735","display_name":"Peripheral Neuropathies and Disorders","score":0.7577999830245972,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11735","display_name":"Peripheral Neuropathies and Disorders","score":0.7577999830245972,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.21400000154972076,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13966","display_name":"Neurological and metabolic disorders","score":0.00279999990016222,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ischemic-stroke","display_name":"ischemic stroke","score":0.8830000162124634},{"id":"https://openalex.org/keywords/therapeutic-plasma-exchange","display_name":"plasma exchange","score":0.8429999947547913},{"id":"https://openalex.org/keywords/guillain-barre-syndrome","display_name":"Guillain-Barr\u00e9 syndrome","score":0.9879999756813049},{"id":"https://openalex.org/keywords/acute-inflammatory-demyelinating-polyradiculoneuropathy","display_name":"acute inflammatory demyelinating polyneuropathy","score":0.9729999899864197},{"id":"https://openalex.org/keywords/postprocedural-complications","display_name":"post-procedural complications","score":0.6269999742507935},{"id":"https://openalex.org/keywords/middle-cerebral-artery-infarction","display_name":"middle cerebral artery infarction","score":0.8610000014305115},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.5379999876022339},{"id":"https://openalex.org/keywords/stroke-risk-factors","display_name":"stroke risk factors","score":0.628000020980835}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9289000034332275},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.6047999858856201},{"id":"https://openalex.org/C2776882386","wikidata":"https://www.wikidata.org/wiki/Q2291130","display_name":"Hemiparesis","level":3,"score":0.5856999754905701},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.5205000042915344},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4650000035762787},{"id":"https://openalex.org/C2775841333","wikidata":"https://www.wikidata.org/wiki/Q498179","display_name":"Middle cerebral artery","level":3,"score":0.4025000035762787},{"id":"https://openalex.org/C3020199598","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Ischemic stroke","level":3,"score":0.3702999949455261},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.34769999980926514},{"id":"https://openalex.org/C541997718","wikidata":"https://www.wikidata.org/wiki/Q188151","display_name":"Ischemia","level":2,"score":0.34380000829696655},{"id":"https://openalex.org/C2779651940","wikidata":"https://www.wikidata.org/wiki/Q54196","display_name":"Cerebrospinal fluid","level":2,"score":0.3262999951839447},{"id":"https://openalex.org/C2778820722","wikidata":"https://www.wikidata.org/wiki/Q4862390","display_name":"Brain ischemia","level":3,"score":0.3215000033378601},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.3091000020503998},{"id":"https://openalex.org/C2777466421","wikidata":"https://www.wikidata.org/wiki/Q1266890","display_name":"Vascular disease","level":2,"score":0.3027999997138977},{"id":"https://openalex.org/C2776761947","wikidata":"https://www.wikidata.org/wiki/Q5045548","display_name":"Carotid ultrasonography","level":3,"score":0.2944999933242798},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.2919999957084656},{"id":"https://openalex.org/C2779546523","wikidata":"https://www.wikidata.org/wiki/Q17143511","display_name":"Pediatric stroke","level":4,"score":0.29179999232292175},{"id":"https://openalex.org/C2776893843","wikidata":"https://www.wikidata.org/wiki/Q757749","display_name":"Patent foramen ovale","level":3,"score":0.28619998693466187},{"id":"https://openalex.org/C2780868729","wikidata":"https://www.wikidata.org/wiki/Q261327","display_name":"Thrombosis","level":2,"score":0.2806999981403351},{"id":"https://openalex.org/C157767197","wikidata":"https://www.wikidata.org/wiki/Q886843","display_name":"Cerebral blood flow","level":2,"score":0.27079999446868896},{"id":"https://openalex.org/C2779281540","wikidata":"https://www.wikidata.org/wiki/Q5062122","display_name":"Central nervous system disease","level":2,"score":0.27070000767707825},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.2667999863624573}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.9734/ajorrin/2026/v9i1199","doi":"https://doi.org/10.9734/ajorrin/2026/v9i1199","is_oa":true,"landing_page_url":"https://doi.org/10.9734/ajorrin/2026/v9i1199","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Journal of Research and Reports in Neurology","raw_type":"journal-article"},{"id":"pmh:oai:HAL:hal-05841498v1","doi":null,"is_oa":false,"landing_page_url":"https://hal.science/hal-05841498","pdf_url":null,"source":{"id":"https://openalex.org/S4306402512","display_name":"HAL","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4405252976","host_organization_name":"Centre pour la Communication Scientifique Directe","host_organization_lineage":["https://openalex.org/I4405252976"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Asian Journal of Research and Reports in Neurology, 2026, 9 (1), pp.457-463","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.9734/ajorrin/2026/v9i1199","doi":"https://doi.org/10.9734/ajorrin/2026/v9i1199","is_oa":true,"landing_page_url":"https://doi.org/10.9734/ajorrin/2026/v9i1199","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Journal of Research and Reports in Neurology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4389441038","https://openalex.org/W7168628403","https://openalex.org/W2899476203","https://openalex.org/W7203930577","https://openalex.org/W3137146627","https://openalex.org/W2411030979","https://openalex.org/W3122792477","https://openalex.org/W3177333177","https://openalex.org/W2411306470","https://openalex.org/W2912224003"],"abstract_inverted_index":{"Background:":[0],"Therapeutic":[1],"plasma":[2,173,204],"exchange":[3,151,174,205],"is":[4],"an":[5,19,108,127],"established":[6],"treatment":[7,17,222],"for":[8,206],"Guillain\u2013Barr\u00e9":[9],"syndrome":[10],"(GBS).":[11],"An":[12,196],"ischemic":[13,197],"stroke":[14,153,198,225,231],"developing":[15],"after":[16,91,200],"presents":[18],"important":[20],"diagnostic":[21],"problem,":[22],"but":[23,177],"temporal":[24],"association":[25],"does":[26],"not":[27,125,156,189],"establish":[28],"a":[29,201],"procedural":[30,181],"cause.":[31],"Case":[32],"Presentation:":[33],"A":[34],"71-year-old":[35],"man":[36],"with":[37,140],"hypertension":[38,162],"developed":[39,94],"rapidly":[40],"progressive,":[41],"symmetrical":[42],"ascending":[43],"weakness,":[44],"areflexia":[45],"and":[46,51,69,83,98,120,137,142,152,161,169,184,227],"severe":[47],"tetraparesis.":[48],"Cerebrospinal":[49],"fluid":[50],"nerve-conduction":[52],"findings":[53],"supported":[54],"acute":[55,109],"inflammatory":[56],"demyelinating":[57],"polyneuropathy.":[58],"Because":[59],"intravenous":[60],"immunoglobulin":[61],"was":[62,104,155],"unavailable,":[63],"he":[64,93],"received":[65,135],"five":[66],"plasma-exchange":[67],"sessions":[68],"improved":[70],"from":[71],"0/5":[72],"power":[73],"in":[74,79,85,191],"all":[75],"limbs":[76,82],"to":[77,106,211,214],"4+/5":[78],"the":[80,86,149,192,215],"upper":[81],"3/5":[84],"lower":[87],"limbs.":[88],"Two":[89],"days":[90],"discharge,":[92],"abrupt":[95],"right-sided":[96],"hemiparesis":[97],"dysarthria.":[99],"Non-contrast":[100],"brain":[101],"computed":[102],"tomography":[103],"reported":[105,121],"show":[107],"left":[110],"middle":[111],"cerebral":[112],"artery":[113],"territory":[114],"infarct.":[115],"Electrocardiography,":[116],"echocardiography,":[117],"carotid":[118],"ultrasonography":[119],"angiographic":[122],"assessment":[123,226],"did":[124],"reveal":[126],"obvious":[128],"major":[129],"embolic":[130],"or":[131],"large-vessel":[132],"source.":[133],"He":[134],"antiplatelet":[136],"statin":[138],"therapy":[139],"hydration":[141],"supportive":[143],"care.":[144],"Discussion:":[145],"The":[146],"interval":[147],"between":[148],"final":[150],"onset":[154],"documented":[157],"precisely.":[158],"Advanced":[159],"age":[160],"were":[163,188],"independent":[164],"vascular":[165],"risk":[166],"factors.":[167],"Hemodynamic":[168],"hemostatic":[170],"effects":[171],"of":[172,203,229],"offer":[175],"possible,":[176],"unverified,":[178],"contributing":[179],"mechanisms;":[180],"monitoring":[182],"data":[183],"post-stroke":[185],"functional":[186],"follow-up":[187],"available":[190],"case":[193],"description.":[194],"Conclusion:":[195],"occurred":[199],"course":[202],"GBS,":[207],"without":[208],"evidence":[209],"sufficient":[210],"attribute":[212],"causation":[213],"procedure.":[216],"New":[217],"focal":[218],"neurological":[219],"symptoms":[220],"following":[221],"warrant":[223],"immediate":[224],"investigation":[228],"conventional":[230],"mechanisms.":[232]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-28T00:00:00"}