Guillain-Barré Syndrome Variant Occurring after SARS-CoV-2 Vaccination
- PMID: 34114269
- DOI: 10.1002/ana.26144
Guillain-Barré Syndrome Variant Occurring after SARS-CoV-2 Vaccination
Abstract
Although SARS-CoV-2 vaccines are very safe, we report 4 cases of the bifacial weakness with paresthesias variant of Guillain-Barré syndrome (GBS) occurring within 3 weeks of vaccination with the Oxford-AstraZeneca SARS-CoV-2 vaccine. This rare neurological syndrome has previously been reported in association with SARS-CoV-2 infection itself. Our cases were given either intravenous immunoglobulin, oral steroids, or no treatment. We suggest vigilance for cases of bifacial weakness with paresthesias variant GBS following vaccination for SARS-CoV-2 and that postvaccination surveillance programs ensure robust data capture of this outcome, to assess for causality. ANN NEUROL 2021;90:315-318.
© 2021 American Neurological Association.
Comment in
-
Guillain-Barré Syndrome in an Australian State Using Both mRNA and Adenovirus-Vector SARS-CoV-2 Vaccines.Ann Neurol. 2021 Nov;90(5):856-858. doi: 10.1002/ana.26218. Epub 2021 Sep 28. Ann Neurol. 2021. PMID: 34528279 Free PMC article. No abstract available.
References
-
- Possible link between COVID-19 vaccine AstraZeneca and extremely rare, unlikely to occur blood clots. Press release. 2021. Available at https://www.gov.uk/government/news/mhra-issues-new-advice-concluding-a-p.... Accessed 7 April, 2021.
-
- Susuki K, Koga M, Hirata K, et al. A Guillain-Barré Syndrome variant with prominent facial diplegia. J Neurol 2009;256:1899-1905.
-
- Ropper AH. Further regional variants of acute immune polyneuropathy. Bifacial weakness or sixth nerve paresis with paresthesias, lumbar polyradiculopathy, and ataxia with pharyngeal-cervical-brachial weakness. Arch Neurol 1994;51:671-675.
-
- Goh Y, Beh DLL, Makmur A, et al. Pearls & oy-sters: facial nerve palsy in COVID-19 infection. Neurology 2020;95:364-367.
-
- Uncini A, Vallat JM, Jacobs BC. Guillain-Barré syndrome in SARS-CoV-2 infection: an instant systematic review of the first six months of pandemic. J Neurol Neurosurg Psychiatry 2020;91:1105-1110.
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous