Guillain-Barre syndrome following COVID-19 vaccination : a study of 70 case reports

Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc..

Background and objective: Guillain-Barre syndrome (GBS) has been found to have some interesting association with vaccinations. This paper mainly focuses on exploring different associations between COVID-19 vaccination and GBS.

Methods: Electronic databases such as PubMed, Google Scholar, Cochrane, and Embase were searched using MESH terms for case reports published till 1 August 2023 from which 70 case reports were documented involving 103 individuals from 23 different countries.

Result and discussion: The case reports were from a wide range of individuals aged from 13 to 87 years with an average age of 53±20 interquartile range years along with male predominance. The average time between receiving the vaccine and the onset of symptoms was 13.08±2.14 days. Prominent clinical features included back pain, facial diplegia, weakness, and paraesthesia whereas the main diagnostic studies were cerebrospinal fluid (CSF) analysis and electromagnetic studies. The principal diagnostic clue was albumin-cytological dissociation in CSF while being negative for anti-ganglioside antibodies or SARS-CoV-2. Available treatment options consisted of intravenous immunoglobulin and Plasmapheresis. Patients with comorbidities such as diabetes mellitus, hypertension, dyslipidemia, permanent atrial fibrillation, hypothyroidism, Hashimoto's thyroiditis, Chronic Obstructive Pulmonary Disease, asthma, osteoporosis, migraine, rheumatoid arthritis, osteoarthritis, ulcerative colitis, coeliac disease, seizures, bipolar disorder, endometriosis, multiple sclerosis, bell's palsy, squamous cell carcinoma, prostate cancer were included in our study.

Conclusion: Overall, this review evaluated innovative and clinically relevant associations between COVID-19 vaccination and GBS. Understanding of this uncommon potential side effect of COVID-19 vaccination is crucial for prompt diagnosis and appropriate treatment. Importantly, GBS should not be considered a contraindication to vaccination. This underscores the importance of ongoing research to enhance the safety and efficacy of COVID-19 vaccination efforts.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:86

Enthalten in:

Annals of medicine and surgery (2012) - 86(2024), 4 vom: 27. Apr., Seite 2067-2080

Sprache:

Englisch

Beteiligte Personen:

Sah, Biki Kumar [VerfasserIn]
Fatima, Zahra [VerfasserIn]
Sah, Rajan Kumar [VerfasserIn]
Syed, Bushra [VerfasserIn]
Garg, Tulika [VerfasserIn]
Chowdhury, Selia [VerfasserIn]
Ghosh, Bikona [VerfasserIn]
Kunwar, Binita [VerfasserIn]
Shree, Anagha [VerfasserIn]
Sah, Vivek Kumar [VerfasserIn]
Raut, Anisha [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Case reports
Guillain–Barre syndrome
Journal Article
Review
Vaccine

Anmerkungen:

Date Revised 06.04.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1097/MS9.0000000000001915

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370663454