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Coronavirus – Case Report

Post COVID-19 vaccination Guillain-Barre syndrome: three cases

, , ORCID Icon, , , & ORCID Icon show all
Article: 2045153 | Received 09 Dec 2021, Accepted 18 Feb 2022, Published online: 03 Mar 2022
 

ABSTRACT

Guillain-Barré syndrome (GBS) is an acute inflammatory polyradiculoneuropathy. In two-thirds of patients, it is preceded by an upper respiratory or gastrointestinal tract infection. Temporally associated cases of GBS following COVID-19 vaccination have been described with different COVID-19 vaccines. In this study, we report three cases of GBS patients following COVID-19 vaccine. Two of the studied patients received the Sinopharm vaccine and one patient received the AstraZeneca vaccine. All patients were diagnosed with acute motor axonal neuropathy (AMAN) type of GBS, on nerve conduction studies. All three patients responded well to treatment with intravenous immunoglobulin (IVIg). The association between COVID-19 vaccination and GBS is not well understood and more studies are needed to establish whether it is merely an association or a causal relationship.

Abbreviations

GBS=

Guillain-Barré syndrome

MRC=

Medical Research Council

CSF=

cerebrospinal fluid

NP=

nasopharyngeal

RT-PCR=

real time polymerase chain reaction

EMG-NCS=

electromyography and nerve conduction studies

AMAN=

acute motor axonal neuropathy

IVIG=

intravenous immunoglobulin

AIDP=

acute inflammatory demyelinating polyradiculoneuropathy

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.