Evidence map›Paper›PMID 32947089›Full record

ArticleJournal of the neurological sciences2020

COVID-19-related and not related Guillain-Barré syndromes share the same management pitfalls during lock down: The experience of Liguria region in Italy.

Martina Garnero, Massimo Del Sette, Andrea Assini, Alessandro Beronio, Elisabetta Capello, Corrado Cabona, Lizia Reni, Carlo Serrati, Fabio Bandini, Alfredo Granata and 5 more

Abstract read
In one paragraph

Article in Journal of the neurological sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. COVID-19 associated cranial nerve neuropathy: A systematic review.Bosnian journal of basic medical sciences · 2022
    Pooled it
  2. Pooled it
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  4. Pooled it
  5. Pooled it
  6. Article
  7. Review
  8. Review
  9. Article
  10. Neuroimmune disorders in COVID-19.Journal of neurology · 2022
    Review
  11. Article
  12. Autoimmune complications of COVID-19.Journal of medical virology · 2022
    Review
  13. How to define and enhance diagnostic and assistance pathways in neuromuscular diseases during the COVID-19 pandemic: the concept of network.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2021
    Article
  14. Review
  15. Article
  16. Neuromuscular complications of coronavirus disease-19.Current opinion in neurology · 2021
    Review
  17. Review
  18. SARS-CoV-2 associated Miller-Fisher syndrome or polyneuritis cranialis.Environmental science and pollution research international · 2021
    Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Martina GarneroDepartment of Neurology, Imperia Hospital, Imperia, Italy. Electronic address: martina.garnero@hotmail.it.
Massimo Del SetteNeurology Unit, Galliera Hospital Genova, Italy.
Andrea AssiniNeurology Unit, Galliera Hospital Genova, Italy.
Alessandro BeronioDepartment of Neurology, Sant'Andrea Hospital, La Spezia, Italy.
Elisabetta CapelloDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Genova, Italy; IRCCS, Ospedale Policlinico San Martino, Genova, Italy.
Corrado CabonaDivision of Clinical Neurophysiology, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Lizia ReniDivision of Clinical Neurophysiology, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Carlo SerratiDepartment of Neurology, Imperia Hospital, Imperia, Italy.
Fabio BandiniDepartment of Neurology, S. Paolo Hospital, Savona, Italy.
Alfredo GranataDepartment of Neurology Santa Corona Hospital, Pietra Ligure, Savona, Italy.
Giampaola PesceIRCCS, Ospedale Policlinico San Martino, Genova, Italy; Department of Internal Medicine, University of Genova, Italy.
Giovanni L MancardiDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Genova, Italy; IRCCS ICS Maugeri, Pavia, Italy.
Antonio UccelliDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Genova, Italy; IRCCS, Ospedale Policlinico San Martino, Genova, Italy.
Angelo SchenoneDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Genova, Italy; IRCCS, Ospedale Policlinico San Martino, Genova, Italy.
Luana BenedettiDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Genova, Italy; IRCCS, Ospedale Policlinico San Martino, Genova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recently, during the pandemic infection of the novel SARS-CoV-2, some cases of Guillan-Barré Syndrome (GBS) have been reported. The aim of this work is to report the natural history of patients with GBS, both COVID and not-COVID related, hospitalized in Liguria region, during lock down period, in order to assess clinical features of both groups and possible managements pitfalls due to pandemic emergency. Fifteen GBS patients were admitted to the Hospitals of Liguria, from February 15th to May 3rd 2020, six with SARS-CoV-2 infection and nine without infection. In COVID-19 related GBS five patients presented with classical GBS and one with variant. Two patients presented neurologic symptoms during or shortly after the viral syndrome, suggesting the pattern of a para-infectious profile. Multi-organ involvement, delay in the diagnosis, incomplete work up and start of therapy, were registered in 50% of cases with a GBS-Disability scale ≥4 at follow-up evaluation. In not-COVID-19 related GBS, main problem was diagnostic delay. In three patients the first neurological observation took place after a mean of 33,6 days. Moreover, five patients went to emergency room after an average of 30 days since the onset of neurological symptoms because of fear of contagion. In conclusion, not only SARS-CoV-2 infection can cause GBS, but it can also, due to effects of pandemic on the health organization, affect the outcome of patients with not COVID-19 related GBS.

Indexed as

Social IsolationAgedCase-Control StudiesComorbidityCOVID-19Delayed DiagnosisDisease ManagementFemaleGuillain-Barre SyndromeHumansItalyMaleMiddle AgedPandemicsSARS-CoV-2Time-to-TreatmentAIDPAMANCOVID-19Guillain-Barré syndromeMiller Fisher

Identifiers

PMID32947089
PMCPMC7462770

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.