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Guillain-Barré syndrome associated with SARS-CoV‑2 (analysis of clinical cases)

https://doi.org/10.33667/2078-531-2023-2-22-28

Abstract

COVID‑19 infection is associated with many neurological complications, one of which is acute autoimmune polyneuropathy or Guillain-Barré syndrome.
The aim of this study. To analyze clinical symptoms, electrophysiological parameters, and evaluate the efficacy of therapy for Guillain-Barré syndrome associated with SARS-CoV‑2 viral infection. The relationship between the severity of a previous COVID‑19 infection and the severity of damage to the peripheral nervous system was also studied. The article presents three clinical cases with different pathophysiological variants of the disease.
Methods of research. All patients underwent electroneuromyography, lumbar puncture, laboratory tests. In one case, the patient underwent confocal microscopy of the cornea to assess the condition of the corneal nerve fibers.
Conclusions. With timely diagnosis and treatment of Guillain-Barré syndrome associated with SARS-CoV‑2 virus, a good recovery of neurological disorders is observed, despite the severity of the viral infection itself

About the Authors

L. T. Akhmedzhanova
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Akhmedzhanova Luiza T., PhD Med, associate professor at Dept of Nervous Diseases and Neurosurgery, Institute of Clinical Medicine n. a. N. V. Sklifosovsky

Moscow



V. V. Zakharov
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Zakharov Vladimir V., DM Sci (habil.), professor at Dept of Nervous Diseases and Neurosurgery, Institute of Clinical Medicine n. a. N. V. Sklifosovsky

Moscow



E. A. Drozdova
City Hospital No. 13 of the Avtozavodsky District of Nizhny Novgorod
Russian Federation

Drozdova Ekaterina A., PhD Med, neurologist, neuropsychologist-aphasiologist, head of Neurological Dept for Patients

Nizhny Novgorod



S. A. Dzhukkaeva
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Dzhukkaeva Sofya A., neurologist at University Clinical Hospital No. 3

Moscow



A. I. Isaikin
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Isaikin Alexei I., PhD Med, associate professor at Dept of Nervous Diseases and Neurosurgery, Institute of Clinical Medicine n. a. N. V. Sklifosovsky

Moscow



O. N. Voskresenskaya
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Moscow



Z. V. Surnina
Research Institute of Eye Diseases n. a. M. M. Krasnov
Russian Federation

Surnina Zoya V., PhD Med, senior researcher at Dept of Pathology of the Optical Media of the Eye

Moscow



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Review

For citations:


Akhmedzhanova L.T., Zakharov V.V., Drozdova E.A., Dzhukkaeva S.A., Isaikin A.I., Voskresenskaya O.N., Surnina Z.V. Guillain-Barré syndrome associated with SARS-CoV‑2 (analysis of clinical cases). Medical alphabet. 2023;(2):22-28. (In Russ.) https://doi.org/10.33667/2078-531-2023-2-22-28

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)