Diplegia nervi facialis paraesthesiával – ritka Guillain–Barré-szindróma-variáns, SARS-CoV-2-infekciót követően = Bifacial weakness with paresthesia - a rare Guillain-Barre syndrome subtype associated with SARS-CoV-2 infection

Gaal, Tibor and Szeszak, Gergely and Torak, Gyongyi and Salacz, Pál (2021) Diplegia nervi facialis paraesthesiával – ritka Guillain–Barré-szindróma-variáns, SARS-CoV-2-infekciót követően = Bifacial weakness with paresthesia - a rare Guillain-Barre syndrome subtype associated with SARS-CoV-2 infection. ORVOSI HETILAP, 162 (45). pp. 1803-1807. ISSN 0030-6002

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Abstract

After the worldwide spread of COVID-19, common symptoms are already well known as fever, coughing, shortness of breath, pneumonia, abdominal pain and diarrhea, either loss of olfaction or sense of taste. Neurological complica-tions are perhaps less known as headache, dizziness, agitation, executive dysfunction or, in particular cases, viral en-cephalitis and acute hemorrhagic necrotizing encephalitis may also occur. In COVID-19 patients, ischemic stroke or cerebral vein thrombosis are also more commonly related to the increased risk of thrombosis. In the long term, so called post-COVID syndrome can emerge in the form of fatigue, depression or many other mental disorders. The most common disease of the peripheral nervous system is Guillain-Barre syndrome. This chapter reviews a case of a 41-year-old man presented to the Department of Neurology with facial diplegia, dysarthria and intermittent pares-thesia of the upper and lower extremities. 10-14 days before the onset of neurological symptoms, he has gone through COVID-19 infection that involved fever and upper respiratory tract symptoms. Electrophysiology and liq-uor samples showed typical signs of a rare Guillain-Barre syndrome subtype - bifacial weakness with paresthesias. We are reviewing the neurological complications of the virus due to the expected increase of case numbers.

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