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220例新冠肺炎患者并发吉兰-巴雷综合征

Guillain-Barre syndrome in 220 patients with COVID-19.

作者信息

Finsterer Josef, Scorza Fulvio A

机构信息

Klinik Landstrasse, Messerli Institute, Postfach 20, 1180 Vienna, Austria.

Disciplina de Neurociência. Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil.

出版信息

Egypt J Neurol Psychiatr Neurosurg. 2021;57(1):55. doi: 10.1186/s41983-021-00310-7. Epub 2021 May 4.

Abstract

This review summarises and discusses recent findings concerning the pathophysiology, clinical presentation, diagnosis, treatment, and outcome of SARS-CoV-2-associated Guillain-Barre syndrome (SC2-GBS). By the end of December 2020, at least 220 patients with SC2-GBS have been published in 95 papers. SC2-GBS is most likely secondary due to an immune reaction against SARS-CoV-2 since the virus has not been found in the CSF of any SC2-GBS patient so far reported. SC2-GBS occurs in each age group and does not differ from non-SC2-GBS regarding clinical presentation and treatment, but the outcome of SC2-GBS is worse compared to non-CS2-GBS patients, and the prevalence/incidence of GBS most likely increased since the outbreak of the pandemic. Early diagnosis of SC2-GBS is warranted to apply appropriate treatment in due time and to improve the overall outcome from the infection.

摘要

本综述总结并讨论了关于新型冠状病毒2型相关吉兰-巴雷综合征(SC2-GBS)的病理生理学、临床表现、诊断、治疗及预后的近期研究结果。截至2020年12月底,95篇论文中至少发表了220例SC2-GBS患者的病例。由于迄今为止在任何已报道的SC2-GBS患者的脑脊液中均未发现该病毒,因此SC2-GBS很可能是由针对新型冠状病毒2型的免疫反应继发而来。SC2-GBS可发生于各年龄组,在临床表现和治疗方面与非SC2-GBS并无差异,但与非SC2-GBS患者相比,SC2-GBS的预后更差,且自疫情爆发以来,吉兰-巴雷综合征的患病率/发病率很可能有所上升。有必要对SC2-GBS进行早期诊断,以便及时进行适当治疗并改善感染后的总体预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f1/8094972/bd393748a337/41983_2021_310_Fig1_HTML.jpg

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