Evidence map›Paper›PMID 33321326›Full record

SynthesisJournal of the neurological sciences2021

Guillain Barré Syndrome and its variants as a manifestation of COVID-19: A systematic review of case reports and case series.

Shitiz Sriwastava, Saurabh Kataria, Medha Tandon, Jenil Patel, Riddhi Patel, Abbas Jowkar, Maha Daimee, Evanthia Bernitsas, Preeti Jaiswal, Robert P Lisak

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the neurological sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% of its field
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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. A Comprehensive Systematic Review of CSF analysis that defines Neurological Manifestations of COVID-19.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
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  12. Controversies in COVID-19: Diagnostic Evaluation and Management in Neuro-COVID.Advances in experimental medicine and biology · 2024
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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

10 authors at 9 institutions in 2 countries.

Shitiz SriwastavaDepartment of Neurology, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, United States of America. Electronic address: sks00002@hsc.wvu.edu.
Saurabh KatariaDepartment of Neurology, University of Missouri Healthcare at Columbia, MO, United States of America.
Medha TandonSafdarjung Hospital, India.
Jenil PatelDepartment of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Riddhi PatelDepartment of Epidemiology, Human Genetics & Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston, TX, USA.
Abbas JowkarDepartment of Neurology, Mercy Health, Michigan State University, Grand Rapids, MI, United States of America.
Maha DaimeeDepartment of Neurology, MedStar Georgetown University, Washington, DC, United States of America.
Evanthia BernitsasDepartment of Neurology, Wayne State University, Detroit, MI, United States of America.
Preeti JaiswalDepartment of Public Health, Walden University, Minneapolis, MN, United States of America.
Robert P LisakDepartment of Neurology, Wayne State University, Detroit, MI, United States of America; Department of Biochemistry, Microbiology and Immunology, Detroit, MI, United States of America.
Wayne State University · USMedStar Georgetown University Hospital · USMichigan State University · USSafdarjang Hospital · INThe University of Texas Health Science Center at Houston · USUniversity of Arkansas for Medical Sciences · USUniversity of Missouri Health System · USWalden University · USWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic caused by SARS-COV-2 began in Wuhan, China in December 2019. Reports of COVID-19 with central (CNS) and peripheral nervous (PNS) system manifestations are emerging. In this systematic review, we compared and summarized the demographics, clinical features, Brighton criteria, immunological and laboratory findings with a focus on modified Erasmus GBS Outcome Score (mEGOS) in SARS-CoV-2 patients with GBS and its variants.

methodsBased on PRISMA guidelines, we searched three databases (PubMed, Scopus, and Google Scholar) for studies on COVID-19 and GBS between December 1, 2019 to July 15, 2020. For descriptive analysis, we studied two groups with: 1) acute inflammatory demyelinating polyradiculoneuropathy (AIDP) variant, and 2) Non-AIDP/Other variants. We compared mEGOS scores for patients in both groups along with other key clinical features.

resultsOf the 50 GBS cases identified from 37 studies, 33 (66%) had acute inflammatory demyelinating polyradiculopolyneuropathy (AIDP) while 17 (34%) were of other (non-AIDP) variants. There mEGOS scores did not differ between AIDP patients and AMAN/AMSAN patients. Majority of the AIDP (66.7%) and AMAN/AMSAN (57.2%) patients belonged to Brighton level 1 indicating maximum diagnostic certainty.

conclusionTo our knowledge, this is among the first reviews that includes GBS variants and the clinical prediction tool mEGOS for prognostication in COVID-19 patients. Further research is needed to assess whether IVIG is preferable over plasmapheresis in this population of GBS patients. It would also be crucial to follow these patients over time to identify the long-term disability as well as treatment outcomes.

Indexed as

COVID-19Guillain-Barre SyndromeHumansNeural ConductionAIDPAMSANBickerstaff encephalitisCOVID-19GBSMFSSARS-CoV-2

Identifiers

PMID33321326
PMCPMC7725056
OpenAlexW3111689582

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.