Guillain–Barré syndrome with bilateral facial diplegia secondary to severe acute respiratory syndrome coronavirus-2 infection: a case report

Mauricio O. Nava-Mesa; David Ujueta; Natalia Ramirez; Luis Felipe Diaz; Lucila Emilse Folleco; Andrea Rodríguez; Ivan Gaona

doi:10.1186/s13256-021-03120-w

Guillain–Barré syndrome with bilateral facial diplegia secondary to severe acute respiratory syndrome coronavirus-2 infection: a case report

Título traducido de la contribución: Sindrome de Guillain Barre con diplegia facial bilateral secundaria a la infección por SARS Cov 2.

Mauricio O. Nava-Mesa, David Ujueta, Natalia Ramirez, Luis Felipe Diaz, Lucila Emilse Folleco, Andrea Rodríguez, Ivan Gaona

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

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Resumen

Antecedentes: El nuevo coronavirus, conocido como síndrome respiratorio agudo severo coronavirus 2 (SARS-CoV-2) por su similitud con el anterior síndrome respiratorio agudo severo (SRAS), se caracteriza por provocar, en la mayoría de los pacientes, síntomas inespecíficos similares a los de la gripe común. Se ha informado que muchos pacientes con enfermedad por coronavirus 2019 (COVID-19) presentaron síntomas neurológicos que involucran los sistemas nerviosos central y periférico. Además, ha habido varios reportes de pacientes que presentaron síndrome de Guillain-Barré relacionado con el COVID-19, con compromiso sensorial y motor en las extremidades.

Presentación del caso: En este reporte, describimos un caso raro de síndrome de Guillain-Barré en un varón hispano de 50 años con parálisis facial bilateral como única manifestación neurológica, luego de una infección por SARS-CoV-2. Un estudio neurofisiológico completo mostró neuropatía axonal severa de los nervios faciales derecho e izquierdo.

Conclusión: Independientemente de la gravedad, los médicos deben estar atentos a cualquier manifestación neurológica generada por COVID-19 y comenzar a realizar más pruebas neurofisiológicas para determinar si la infección induce un compromiso axonal, mielínico o mixto del sistema nervioso periférico.

Título traducido de la contribución	Sindrome de Guillain Barre con diplegia facial bilateral secundaria a la infección por SARS Cov 2.
Idioma original	Inglés estadounidense
Número de artículo	558
Publicación	Journal of Medical Case Reports
Volumen	15
N.º	1
DOI	https://doi.org/10.1186/s13256-021-03120-w
Estado	Publicada - nov. 15 2021

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Medicina General

ODS de las Naciones Unidas

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title = "Guillain–Barr{\'e} syndrome with bilateral facial diplegia secondary to severe acute respiratory syndrome coronavirus-2 infection: a case report",

abstract = "Background: The new coronavirus, known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) owing to its similarity to the previous severe acute respiratory syndrome (SARS), is characterized by causing, in most patients, nonspecific symptoms similar to those of the common flu. It has been reported that many coronavirus disease 2019 (COVID-19) patients presented neurological symptoms that involve the central and peripheral nervous systems. In addition, there have been several reports of patients who presented Guillain–Barr{\'e} syndrome related to COVID-19 , with sensory and motor compromise in the extremities. Case presentation: In this report, we describe a rare case of Guillain–Barr{\'e} syndrome in a 50-year-old Hispanic male with bilateral facial palsy as the only neurological manifestation, following SARS-CoV-2 infection. A complete neurophysiological study showed severe axonal neuropathy of the right and left facial nerves. Conclusion: Regardless of severity, clinicians must to be aware of any neurological manifestation generated by COVID-19 and start performing more neurophysiological tests to determine if the infection induces an axonal, myelin, or mixed involvement of the peripheral nervous system.",

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Guillain–Barré syndrome with bilateral facial diplegia secondary to severe acute respiratory syndrome coronavirus-2 infection: a case report. / Nava-Mesa, Mauricio O.; Ujueta, David; Ramirez, Natalia et al.
En: Journal of Medical Case Reports, Vol. 15, N.º 1, 558, 15.11.2021.

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

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