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COVID-19-Associated Bifacial Weakness with Paresthesia Subtype of Guillain-Barré Syndrome
K L Hutchins1, J H Jansen2, A D Comer1
1From the Departments of Neurology (K.L.H., A.D.C., R.V.S.).
Abstract:
We report a case of bifacial weakness with paresthesia, a recognized Guillain-Barré syndrome subtype characterized by rapidly progressive facial weakness and paresthesia without ataxia or other cranial neuropathies, which was temporally associated with antecedent coronavirus 2019 (COVID-19). This case highlights a potentially novel but critically important neurologic association of the COVID-19 disease process. Herein, we detail the clinicoradiologic work-up and diagnosis, clinical course, and multidisciplinary medical management of this patient with COVID-19. This case is illustrative of the increasingly recognized but potentially underreported neurologic manifestations of COVID-19, which must be considered and further investigated in this pandemic disease.
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