Post SARS-CoV-2 vaccination Guillain-Barre syndrome in 19 patients

SARS-CoV-2 vaccinations are not free from side effects. Usually, they are mild or moderate but occasionally severe. One of these severe side effects is Guillain-Barré syndrome (GBS). This review summarizes and discusses GBS as a side effect of SARS-CoV-2 vaccinations (SCoVaG) based on recent researc...

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Main Authors: Josef Finsterer, Fulvio A. Scorza, Carla A. Scorza
Format: Article
Language:English
Published: Elsevier España 2021-10-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322021000100428&tlng=en
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author Josef Finsterer
Fulvio A. Scorza
Carla A. Scorza
author_facet Josef Finsterer
Fulvio A. Scorza
Carla A. Scorza
author_sort Josef Finsterer
collection DOAJ
description SARS-CoV-2 vaccinations are not free from side effects. Usually, they are mild or moderate but occasionally severe. One of these severe side effects is Guillain-Barré syndrome (GBS). This review summarizes and discusses GBS as a side effect of SARS-CoV-2 vaccinations (SCoVaG) based on recent research reports. Altogether, nine articles reporting 18 patients with SCoVaG were identified and one more report on another patient is under review. The age for the studies ranged between 20-86y. Nine patients were male, and ten were female. In all 19 patients, SCoVaG developed after the first dose of the vaccine. The Astra Zeneca vaccine was used in fourteen patients, the Pfizer vaccine in four patients, and the Johnson & Johnson vaccine was applied in one patient. The latency between vaccination and onset of GBS ranged from 3h to 39d. The treatment of SCoVaG included IVIGs (n=13), steroids (n=3), or no therapy (n=3). Six patients required mechanical ventilation. Only a single patient recovered completely and partial recovery was achieved in nine patients. In conclusion, GBS may develop time-linked to the first dose of a SARS-CoV-2 vaccination. Though a causal relationship between SARS-CoV-2 vaccinations and SCoVaG remains speculative, more evidence is in favour than against it.
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spelling doaj.art-ae7830a8d78d4c689289e8c6299511592022-12-22T00:21:36ZengElsevier EspañaClinics1980-53222021-10-017610.6061/clinics/2021/e3286Post SARS-CoV-2 vaccination Guillain-Barre syndrome in 19 patientsJosef Finstererhttps://orcid.org/0000-0003-2839-7305Fulvio A. Scorzahttps://orcid.org/0000-0002-0694-8674Carla A. Scorzahttps://orcid.org/0000-0001-7810-4748SARS-CoV-2 vaccinations are not free from side effects. Usually, they are mild or moderate but occasionally severe. One of these severe side effects is Guillain-Barré syndrome (GBS). This review summarizes and discusses GBS as a side effect of SARS-CoV-2 vaccinations (SCoVaG) based on recent research reports. Altogether, nine articles reporting 18 patients with SCoVaG were identified and one more report on another patient is under review. The age for the studies ranged between 20-86y. Nine patients were male, and ten were female. In all 19 patients, SCoVaG developed after the first dose of the vaccine. The Astra Zeneca vaccine was used in fourteen patients, the Pfizer vaccine in four patients, and the Johnson & Johnson vaccine was applied in one patient. The latency between vaccination and onset of GBS ranged from 3h to 39d. The treatment of SCoVaG included IVIGs (n=13), steroids (n=3), or no therapy (n=3). Six patients required mechanical ventilation. Only a single patient recovered completely and partial recovery was achieved in nine patients. In conclusion, GBS may develop time-linked to the first dose of a SARS-CoV-2 vaccination. Though a causal relationship between SARS-CoV-2 vaccinations and SCoVaG remains speculative, more evidence is in favour than against it.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322021000100428&tlng=enSARS-CoV-2COVID-19Neuro-COVIDComplicationsVaccinationPolyradiculitis
spellingShingle Josef Finsterer
Fulvio A. Scorza
Carla A. Scorza
Post SARS-CoV-2 vaccination Guillain-Barre syndrome in 19 patients
Clinics
SARS-CoV-2
COVID-19
Neuro-COVID
Complications
Vaccination
Polyradiculitis
title Post SARS-CoV-2 vaccination Guillain-Barre syndrome in 19 patients
title_full Post SARS-CoV-2 vaccination Guillain-Barre syndrome in 19 patients
title_fullStr Post SARS-CoV-2 vaccination Guillain-Barre syndrome in 19 patients
title_full_unstemmed Post SARS-CoV-2 vaccination Guillain-Barre syndrome in 19 patients
title_short Post SARS-CoV-2 vaccination Guillain-Barre syndrome in 19 patients
title_sort post sars cov 2 vaccination guillain barre syndrome in 19 patients
topic SARS-CoV-2
COVID-19
Neuro-COVID
Complications
Vaccination
Polyradiculitis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322021000100428&tlng=en
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