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[Relation between COVID-19 and Guillain-Barré syndrome in adults. Systematic review]
L M Trujillo Gittermann1,2, S N Valenzuela Feris3, A von Oetinger Giacoman4,5
1Escuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad de las Américas, Santiago, Chile.
Insights
A strong association exists between COVID-19 and Guillain-Barré syndrome (GBS). This review found that COVID-19-associated GBS cases often present with more severe symptoms.
Area of Science:
- Neurology
- Infectious Diseases
- Epidemiology
Context:
- Growing number of reported cases linking COVID-19 infection with Guillain-Barré syndrome (GBS).
- Limited comprehensive understanding of the clinical implications and presentation of this association in adults.
Purpose:
- To systematically review and analyze existing evidence on the association between COVID-19 and Guillain-Barré syndrome in the adult population.
- To elucidate the characteristics and severity of GBS in the context of SARS-CoV-2 infection.
Summary:
- A systematic review of 47 identified studies, with final analysis of 24 articles involving 30 patients, was conducted.
- The review identified a significant association between COVID-19 and Guillain-Barré syndrome.
- Findings indicate that COVID-19-associated GBS may present with increased symptom severity compared to non-COVID-19 related GBS.
Impact:
- Provides crucial insights into the neurological complications of COVID-19.
- Highlights the need for increased clinical vigilance for GBS in COVID-19 patients.
- Informs diagnostic and management strategies for patients presenting with GBS during the pandemic.
Introduction:
Numerous cases have been reported of patients with symptoms of Guillain-Barré syndrome associated with COVID-19, but much information is still lacking on this association and its implications. The objective of this review is to analyse the available evidence on this topic in the adult population.
Material And Methods:
A systematic review was conducted of studies published on scientific databases: PubMed, Cochrane, Science Direct, Medline, and WHO COVID-19 database.
Results:
We identified 47 studies, which were analysed and completed using the Covidence platform; the final analysis included 24 articles, with a total of 30 patients.
Conclusions:
We found a strong association between both conditions; furthermore, the studies analysed highlight differences in the presentation of the disease, with greater severity of symptoms in Guillain-Barre syndrome associated with COVID-19.
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