Absence of proximal muscle weakness, dysarthria, and facial diplegia suggests Guillain–Barre syndrome rather than CIDP

Abstract The aim of this letter to the editor is to discuss the etiology and pathophysiology of chronic inflammatory demyelinating polyneuropathy (CIDP) in two patients, of whom one experienced a mildly symptomatic SARS-CoV-2 infection 2 months prior to onset of the CIDP (patient-1), whereas patient...

Full description

Bibliographic Details
Main Author: Josef Finsterer
Format: Article
Language:English
Published: SpringerOpen 2022-12-01
Series:The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Subjects:
Online Access:https://doi.org/10.1186/s41983-022-00598-z
_version_ 1811291992924094464
author Josef Finsterer
author_facet Josef Finsterer
author_sort Josef Finsterer
collection DOAJ
description Abstract The aim of this letter to the editor is to discuss the etiology and pathophysiology of chronic inflammatory demyelinating polyneuropathy (CIDP) in two patients, of whom one experienced a mildly symptomatic SARS-CoV-2 infection 2 months prior to onset of the CIDP (patient-1), whereas patient-2 developed CIDP with bilateral facial palsy 19 days after receiving a shot of an RNA-based anti-SARS-CoV-2 vaccine. Causality between the SARS-CoV-2 infection and CIDP in patient-1 remains unsupported and the diagnosis CIDP in patient-2 remains questionable. Although delineation between CIDP and GBS is not clear cut, bilateral facial palsy and absence of proximal involvement suggest GBS rather than CIDP.
first_indexed 2024-04-13T04:37:44Z
format Article
id doaj.art-58d79b4abe0e4166ad545871072f03c2
institution Directory Open Access Journal
issn 1687-8329
language English
last_indexed 2024-04-13T04:37:44Z
publishDate 2022-12-01
publisher SpringerOpen
record_format Article
series The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
spelling doaj.art-58d79b4abe0e4166ad545871072f03c22022-12-22T03:02:06ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292022-12-015811210.1186/s41983-022-00598-zAbsence of proximal muscle weakness, dysarthria, and facial diplegia suggests Guillain–Barre syndrome rather than CIDPJosef Finsterer0Neurology and Neurophysiology CenterAbstract The aim of this letter to the editor is to discuss the etiology and pathophysiology of chronic inflammatory demyelinating polyneuropathy (CIDP) in two patients, of whom one experienced a mildly symptomatic SARS-CoV-2 infection 2 months prior to onset of the CIDP (patient-1), whereas patient-2 developed CIDP with bilateral facial palsy 19 days after receiving a shot of an RNA-based anti-SARS-CoV-2 vaccine. Causality between the SARS-CoV-2 infection and CIDP in patient-1 remains unsupported and the diagnosis CIDP in patient-2 remains questionable. Although delineation between CIDP and GBS is not clear cut, bilateral facial palsy and absence of proximal involvement suggest GBS rather than CIDP.https://doi.org/10.1186/s41983-022-00598-zSARS-CoV-2COVID-19VaccinationCIDPGuillain–Barre syndrome
spellingShingle Josef Finsterer
Absence of proximal muscle weakness, dysarthria, and facial diplegia suggests Guillain–Barre syndrome rather than CIDP
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
SARS-CoV-2
COVID-19
Vaccination
CIDP
Guillain–Barre syndrome
title Absence of proximal muscle weakness, dysarthria, and facial diplegia suggests Guillain–Barre syndrome rather than CIDP
title_full Absence of proximal muscle weakness, dysarthria, and facial diplegia suggests Guillain–Barre syndrome rather than CIDP
title_fullStr Absence of proximal muscle weakness, dysarthria, and facial diplegia suggests Guillain–Barre syndrome rather than CIDP
title_full_unstemmed Absence of proximal muscle weakness, dysarthria, and facial diplegia suggests Guillain–Barre syndrome rather than CIDP
title_short Absence of proximal muscle weakness, dysarthria, and facial diplegia suggests Guillain–Barre syndrome rather than CIDP
title_sort absence of proximal muscle weakness dysarthria and facial diplegia suggests guillain barre syndrome rather than cidp
topic SARS-CoV-2
COVID-19
Vaccination
CIDP
Guillain–Barre syndrome
url https://doi.org/10.1186/s41983-022-00598-z
work_keys_str_mv AT joseffinsterer absenceofproximalmuscleweaknessdysarthriaandfacialdiplegiasuggestsguillainbarresyndromeratherthancidp