COVID-19-associated Guillain-Barré syndrome: The early pandemic experience.

Abstract:

:Guillain-Barré syndrome (GBS) is an inflammatory polyradiculoneuropathy associated with numerous viral infections. Recently, there have been many case reports describing the association between coronavirus disease-2019 (COVID-19) and GBS, but much remains unknown about the strength of the association and the features of GBS in this setting. We reviewed 37 published cases of GBS associated with COVID-19 to summarize this information for clinicians and to determine whether a specific clinical or electrodiagnostic (EDx) pattern is emerging. The mean age (59 years), gender (65% male), and COVID-19 features appeared to reflect those of hospitalized COVID-19 patients early in the pandemic. The mean time from COVID-19 symptoms to GBS symptoms was 11 days. The clinical presentation and severity of these GBS cases was similar to those with non-COVID-19 GBS. The EDx pattern was considered demyelinating in approximately half of the cases. Cerebrospinal fluid, when assessed, demonstrated albuminocytologic dissociation in 76% of patients and was negative for severe acute respiratory distress syndrome-coronavirus-2 (SARS-CoV-2) in all cases. Serum antiganglioside antibodies were absent in 15 of 17 patients tested. Most patients were treated with a single course of intravenous immunoglobulin, and improvement was noted within 8 weeks in most cases. GBS-associated COVID-19 appears to be an uncommon condition with similar clinical and EDx patterns to GBS before the pandemic. Future studies should compare patients with COVID-19-associated GBS to those with contemporaneous non-COVID-19 GBS and determine whether the incidence of GBS is elevated in those with COVID-19.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Caress JB,Castoro RJ,Simmons Z,Scelsa SN,Lewis RA,Ahlawat A,Narayanaswami P

doi

10.1002/mus.27024

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

485-491

issue

4

eissn

0148-639X

issn

1097-4598

journal_volume

62

pub_type

杂志文章,评审
  • Peripheral neuropathy in glycogen storage disease type III: Fact or myth?

    abstract:INTRODUCTION:The aim of this study was to assess whether peripheral neuropathy is a feature of glycogen storage disease type IIIa (GSD IIIa) in adult patients. METHODS:Medical records of a cohort of adult GSD IIIa patients who underwent electromyography (EMG) and nerve conduction studies (NCS) were reviewed, and the r...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24977

    authors: Herlin B,Laforět P,Labrune P,Fournier E,Stojkovic T

    更新日期:2016-02-01 00:00:00

  • CT muscle imaging and the clinical assessment of neuromuscular disease.

    abstract::Twenty patients with neurogenic disorders, polymyositis, or muscular dystrophies were assessed clinically and by CT imaging of limb, limb girdle, and trunk muscles, using a standard protocol. On each side of these patients 26 movements were graded by the MRC scale, and 20 muscles were assessed by CT imaging. The clini...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880180706

    authors: Swash M,Brown MM,Thakkar C

    更新日期:1995-07-01 00:00:00

  • Transgenic overexpression of laminin alpha1 chain in laminin alpha2 chain-deficient mice rescues the disease throughout the lifespan.

    abstract::Several approaches to treat laminin alpha2 chain-deficient congenital muscular dystrophy (MDC1A) in mouse models have been undertaken. Most have shown promising results in young animals. However, older animals have only been characterized to some extent. Herein we analyze the lifespan of laminin alpha2 chain-deficient...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.21616

    authors: Gawlik KI,Durbeej M

    更新日期:2010-07-01 00:00:00

  • Myasthenia gravis associated with HTLV-I infection and atypical brain lesions.

    abstract::We report a patient who experienced progressive diplopia and distal weakness of the upper limbs. Magnetic resonance imaging of the brain showed extensive white matter lesions and analysis of cerebrospinal fluid revealed acute human T-lymphotropic virus type I (HTLV-I) infection. Myasthenia gravis (MG) was evidenced by...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.20694

    authors: Lalive PH,Allali G,Truffert A

    更新日期:2007-04-01 00:00:00

  • Widespread tissue distribution of multiple mitochondrial DNA deletions in familial mitochondrial myopathy.

    abstract::We used Southern blot analysis and the polymerase chain reaction to analyze the tissue distribution of multiple mitochondrial DNA (mtDNA) deletions in a 45-year-old man with familial mitochondrial myopathy-Southern blots showed two major types of abnormal mtDNA with approximately 4- and 8-kilobase deletions in the ske...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880170707

    authors: Kawashima S,Ohta S,Kagawa Y,Yoshida M,Nishizawa M

    更新日期:1994-07-01 00:00:00

  • Chronic idiopathic axonal polyneuropathy: Electrophysiological progression and human leukocyte antigen associations.

    abstract:BACKGROUND:We aimed to describe the electrophysiological progression rate of chronic idiopathic axonal polyneuropathy (CIAP) and look into the potential role of human leukocyte antigen (HLA) genetic susceptibility in its development. METHODS:We recruited 57 patients with CIAP (mean age at diagnosis 67, mean follow-up ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.27164

    authors: Zis P,Sarrigiannis PG,Artemiadis A,Skarlatou V,Hadjivassiliou M

    更新日期:2021-01-13 00:00:00

  • A review of techniques employed to estimate the number of motor units in a muscle.

    abstract::Being the smallest functional units under neural control, motor units play an integral role in muscle physiology. However, at the present time, there does not exist any widely accepted technique for quantifying or estimating the number of motor units in a muscle. Specifically, the existing techniques are the increment...

    journal_title:Muscle & nerve

    pub_type: 杂志文章,评审

    doi:10.1002/mus.880131108

    authors: Slawnych MP,Laszlo CA,Hershler C

    更新日期:1990-11-01 00:00:00

  • Motor unit action potential topography and its use in motor unit number estimation.

    abstract::High-density multichannel electromyography (EMG) recordings add spatial information to the temporal information content of the surface EMG (sEMG) signal. This study explores the potential value of such multichannel information at a single motor unit level, in particular for the improvement of motor unit number estimat...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.20357

    authors: Blok JH,Van Dijk JP,Zwarts MJ,Stegeman DF

    更新日期:2005-09-01 00:00:00

  • Central fatigue assessed by transcranial magnetic stimulation.

    abstract::Central fatigue is a subjective phenomenon which can be examined using transcranial magnetic stimulation (TMS). To assess central fatigue, we compared TMS and peripheral electrical stimulations in patients with central nervous system (CNS) lesions and controls before and after an exhaustive task. The recovery times of...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(SICI)1097-4598(199611)19:11<1429::AID-MUS

    authors: Liepert J,Kotterba S,Tegenthoff M,Malin JP

    更新日期:1996-11-01 00:00:00

  • Peripheral nerve atrophy together with higher cerebrospinal fluid progranulin indicate axonal damage in amyotrophic lateral sclerosis.

    abstract:INTRODUCTION:We aimed to investigate whether sonographic peripheral cross-sectional nerve area (CSA) and progranulin (PGRN), a neuritic growth factor, are related to each other and whether they interact to predict clinical and paraclinical measures in amyotrophic lateral sclerosis (ALS). METHODS:We included 55 ALS pat...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.25682

    authors: Schreiber S,Debska-Vielhaber G,Abdulla S,Machts J,Schreiber F,Kropf S,KÖrtvelyessy P,KÖrner S,Kollewe K,Petri S,Dengler R,Kunz WS,Nestor PJ,Vielhaber S

    更新日期:2018-02-01 00:00:00

  • Safety and efficacy of strength training in patients with sporadic inclusion body myositis.

    abstract::We studied the effects of a 12-week progressive resistance strength training program in weakened muscles of 5 patients with sporadic inclusion body myositis (IBM). Strength was evaluated with Medical Research Council (MRC) scale ratings and quantitative isometric and dynamic tests. Changes in serum creatine kinase (CK...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(199710)20:10<1242::aid-mus

    authors: Spector SA,Lemmer JT,Koffman BM,Fleisher TA,Feuerstein IM,Hurley BF,Dalakas MC

    更新日期:1997-10-01 00:00:00

  • Demyelinating neuropathy with anti-CRMP5 antibodies predating diagnosis of breast carcinoma: favorable outcome after cancer therapy.

    abstract:INTRODUCTION:Breast cancer is exceptionally associated with anti-collapsin response mediator protein 5 (anti-CRMP5) antibody or demyelinating neuropathy. This paraneoplastic antibody is itself not associated with demyelinating neuropathy. METHODS:Herein we describe a patient with a predominantly sensory ataxic demyeli...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.22036

    authors: Samarasekera S,Rajabally YA

    更新日期:2011-05-01 00:00:00

  • Relationship between electrical and vibratory output of muscle during voluntary contraction and fatigue.

    abstract::Measurements were done on the biceps muscles of 6 healthy volunteers to record simultaneously the surface electromyogram (EMG) and vibromyogram (VMG) by means of a piezoelectric device (accelerometer). The VMG is generated by mechanical waves due to the contraction mechanism and often measured as sound. The frequency ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880140810

    authors: Zwarts MJ,Keidel M

    更新日期:1991-08-01 00:00:00

  • Calmodulin levels in developing muscle tissues and primary cultures of normal and dystrophic (UM-X7.1) hamsters.

    abstract::Calmodulin levels have been assessed in whole muscle and primary culture extracts in order to examine the relationship between calmodulin and the accumulation of calcium in dystrophic hamster muscle tissues. Significant decreases in both normal and dystrophic skeletal muscle, tongue, and heart calmodulin levels were o...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880100113

    authors: Klamut HJ,Kotarba JA,Strickland KP

    更新日期:1987-01-01 00:00:00

  • Homonymous and heteronymous monosynaptic reflexes in biceps brachii.

    abstract::Using poststimulus time histograms, it has been reported that stimulation of the median nerve at the elbow produces a monosynaptic EPSP in voluntarily active single motoneurons of the human biceps brachii. The present study was undertaken to: (i) determine whether such stimulation could evoke a reproducible reflex res...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880180604

    authors: Miller TA,Mogyoros I,Burke D

    更新日期:1995-06-01 00:00:00

  • Diphtheritic neuropathy.

    abstract::A 29-year-old Haitian man had a sore throat with a marked tonsillar exudate followed by the onset of increasingly blurred vision with swallowing difficulties and, then, a diffuse acute demyelinating neuropathy. Cerebrospinal fluid showed moderate pleiocytosis and elevated protein content. Serological testing for dipht...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880181217

    authors: Créange A,Meyrignac C,Roualdes B,Degos JD,Gherardi RK

    更新日期:1995-12-01 00:00:00

  • Preliminary study of sural nerve morphological changes in uremic hemodialysis patients using 22-MHz high-frequency ultrasound.

    abstract:INTRODUCTION:The aim of this study was to evaluate the ultrasound (US) morphological changes of sural nerves (SNs) of uremic patients on hemodialysis. METHODS:Sixty-six SNs in 33 uremic patients were examined by 22-MHZ high-frequency US and routine nerve conduction studies (NCS), and 76 SNs in 38 controls were also ex...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.23418

    authors: Wei M,Zhu J,Wang N,Xue Q,Liu F,Hu B,Fang J,Zhang Y

    更新日期:2012-12-01 00:00:00

  • Prolonged erythropoietin treatment does not impact gene expression in human skeletal muscle.

    abstract:INTRODUCTION:We tested for the presence of erythropoietin receptor (Epo-R) in human skeletal muscle and alterations in gene expression after prolonged use of an erythropoiesis-stimulating agent (ESA). METHODS:Nine healthy men were treated with ESA for 10 weeks (darbepoietin alfa). Muscle biopsies were collected before...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24355

    authors: Christensen B,Nellemann B,Thorsen K,Nielsen MM,Pedersen SB,Ornstrup MJ,JØrgensen JO,Jessen N

    更新日期:2015-04-01 00:00:00

  • Morvan's syndrome: clinical, laboratory, and in vitro electrophysiological studies.

    abstract::Morvan's syndrome is a rare disorder characterized by neuromyotonia, hyperhidrosis, and central nervous system dysfunction. We report a patient with features of this syndrome, but who initially presented with breathing difficulties. Concentric needle electromyography showed an abundance of myokymic and neuromyotonic d...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.20081

    authors: Löscher WN,Wanschitz J,Reiners K,Quasthoff S

    更新日期:2004-08-01 00:00:00

  • Thoracic outlet syndrome--a functional disturbance of the thoracic upper aperture?

    abstract::We describe a young woman with typical neurovascular symptoms of thoracic outlet syndrome (TOS). A three-dimensional computerized scan showed a "dislocation" of the first rib at the costotransverse joint. The patient responded to a conservative approach to treatment. The patient presented here demonstrates the functio...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880180508

    authors: Lindgren KA,Manninen H,Rytkönen H

    更新日期:1995-05-01 00:00:00

  • Sonography of the median nerve in CMT1A, CMT2A, CMTX, and HNPP.

    abstract:INTRODUCTION:In this study we compare the ultrasound features in the median nerve in patients with different types of Charcot-Marie-Tooth (CMT) disease and hereditary neuropathies with liability to pressure palsies (HNPP) as a typical entrapment neuropathy. METHODS:Median nerve ultrasound and conduction studies were p...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.23681

    authors: Schreiber S,Oldag A,Kornblum C,Kollewe K,Kropf S,Schoenfeld A,Feistner H,Jakubiczka S,Kunz WS,Scherlach C,Tempelmann C,Mawrin C,Dengler R,Schreiber F,Goertler M,Vielhaber S

    更新日期:2013-03-01 00:00:00

  • Hypothyroid myopathy with a strikingly elevated serum creatine kinase level.

    abstract::Although serum creatine kinase (CK) levels are frequently modestly elevated in patients with hypothyroid myopathy, elevations in serum CK to the levels usually seen in inflammatory myopathies or dystrophies are rare. We report a patient with progressive proximal weakness and a serum CK level of over 29,000 IU/L, in wh...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.10128

    authors: Scott KR,Simmons Z,Boyer PJ

    更新日期:2002-07-01 00:00:00

  • A new mutation in the regulatory domain of the myophosphorylase gene affecting protein dimer contact.

    abstract::We have identified a novel missense mutation in the myophosphorylase gene in a Spanish patient with McArdle's disease. The patient was homozygous for a T-to-C transition at codon 115 (L115P) in exon 3, which changed an encoded leucine (CUG) to a proline (CCG). This is the first mutation to be described in exon 3 and i...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(199908)22:8<1136::aid-mus2

    authors: Gamez J,Fernandez R,Bruno C,Andreu AL,Cervera C,Navarro C,Schwartz S,Dimauro S

    更新日期:1999-08-01 00:00:00

  • Utrophin is a calpain substrate in muscle cells.

    abstract::Calpains are Ca2+ -dependent cytosolic cysteine proteases that participate in the pathology of Duchenne muscular dystrophy (DMD). Utrophin is a functional homolog of dystrophin that partially compensates for dystrophin deficiency in myofibers of mdx mice. In this study, we investigated the susceptibility of utrophin t...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.20549

    authors: Courdier-Fruh I,Briguet A

    更新日期:2006-06-01 00:00:00

  • Electrical stimulation impairs early functional recovery and accentuates skeletal muscle atrophy after sciatic nerve crush injury in rats.

    abstract::Neuromuscular recovery after peripheral nerve lesion depends on the regeneration of severed axons that re-establish their functional connection with the denervated muscle. The aim of this study was to determine the effects of electrical stimulation (ES) on the neuromuscular recovery after nerve crush injury in rats. E...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.21549

    authors: Gigo-Benato D,Russo TL,Geuna S,Domingues NR,Salvini TF,Parizotto NA

    更新日期:2010-05-01 00:00:00

  • Medullary infarcts may cause ipsilateral masseter reflex abnormalities.

    abstract::There is a suprasegmental influence on the masseter reflex (MassR) in animals, which is mediated via the fifth nerve spinal nucleus (5SpN). Corresponding data in humans are lacking. Out of 268 prospectively recruited patients with clinical signs of acute brainstem infarctions, we identified 38 with magnetic resonance ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.20829

    authors: Thömke F,Marx JJ,Cruccu G,Stoeter P,Hopf HC

    更新日期:2007-10-01 00:00:00

  • The influence of skeletal muscle reinnervation on experimentally induced myotonia.

    abstract::Earlier studies have shown that prior denervation of muscle prevents myotonia induced by 2,4-dichlorophenoxy acetic acid (2,4-D) both in vivo and in vitro. This work studied the effect of reinnervation on 2,4-D myotonia. Twenty Sprague-Dawley rats were injected with 2,4-D at specific intervals following unilateral sci...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880090414

    authors: Al-Sulaiman A,Al-Rajeh S,Iyer V

    更新日期:1986-05-01 00:00:00

  • Premotor potential study in carpal tunnel syndrome.

    abstract:INTRODUCTION:Premotor potentials (PMPs) precede compound muscle action potentials evoked from the second lumbrical muscle after median nerve stimulation. Although PMP has been identified as a median sensory nerve action potential, few reports have documented the significance of PMP parameters for diagnosing carpal tunn...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.23424

    authors: Kodama M,Sasao Y,Tochikura M,Kasahara T,Koyama Y,Aono K,Fujii C,Hanayama K,Takahashi O,Kobayashi Y,Masakado Y

    更新日期:2012-12-01 00:00:00

  • Posture-related changes of soleus H-reflex excitability.

    abstract::We investigated whether the modulatory effects of segmental and descending inputs on the soleus H reflex are modified by postural conditions. Fourteen healthy volunteers received a transcranial magnetic stimulus (TMS) or percutaneous electrical stimulation of the posterior tibial nerve (PTN), preceding by 0 to 400 ms ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(200006)23:6<925::aid-mus13

    authors: Goulart F,Valls-Solé J,Alvarez R

    更新日期:2000-06-01 00:00:00

  • Facing the diagnostic challenge: Nerve ultrasound in diabetic patients with neuropathic symptoms.

    abstract:INTRODUCTION:We describe the nerve ultrasound findings in patients with type II diabetes mellitus who have neuropathic symptoms and signs. METHODS:Fifty-five healthy controls and 44 diabetic patients underwent clinical, sonographic, and electrophysiological evaluation. Patients were studied at a mean of 14.3 years aft...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24981

    authors: Pitarokoili K,Kerasnoudis A,Behrendt V,Labedi A,Ayzenberg I,Gold R,Yoon MS

    更新日期:2016-06-01 00:00:00