Evidence map›Paper›PMID 34900000›Full record

ArticleClinical & experimental neuroimmunology2022

Guillain-Barré syndrome after coronavirus disease 2019 vaccine: A temporal association.

Gustavo Figueiredo da Silva, Caroline Figueiredo da Silva, Raddib Eduardo Noleto da Nobrega Oliveira, Fabiana Romancini, Rafael Marques Mendes, Amanda Locks, Maria Francisca Moro Longo, Carla Heloisa Cabral Moro, Alexandre Luiz Longo, Vera Lucia Braatz

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Clinical & experimental neuroimmunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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  9. Co-VAN study: COVID-19 vaccine associated neurological diseases- an experience from an apex neurosciences centre and review of the literature.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2023
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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 2 institutions in 1 country.

Gustavo Figueiredo da SilvaDepartment of Medicine University of the Region of Joinville (UNIVILLE) Joinville Brazil.ORCID https://orcid.org/0000-0003-2508-1989
Caroline Figueiredo da SilvaNeurology Service Internal Medicine Department Hospital Municipal São José Joinville Brazil.
Raddib Eduardo Noleto da Nobrega OliveiraNeurology Service Internal Medicine Department Hospital Municipal São José Joinville Brazil.
Fabiana RomanciniNeurology Service Internal Medicine Department Hospital Municipal São José Joinville Brazil.
Rafael Marques MendesDepartment of Medicine University of the Region of Joinville (UNIVILLE) Joinville Brazil.
Amanda LocksDepartment of Medicine University of the Region of Joinville (UNIVILLE) Joinville Brazil.
Maria Francisca Moro LongoDepartment of Medicine University of the Region of Joinville (UNIVILLE) Joinville Brazil.
Carla Heloisa Cabral MoroNeurology Service Internal Medicine Department Hospital Municipal São José Joinville Brazil.
Alexandre Luiz LongoNeurology Service Internal Medicine Department Hospital Municipal São José Joinville Brazil.
Vera Lucia BraatzNeurology Service Internal Medicine Department Hospital Municipal São José Joinville Brazil.
Hospital Municipal São José · BRUniversidade da Região de Joinville · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Guillain-Barré syndrome (GBS) is an acute monophasic immune-mediated polyradiculoneuropathy, preceded by gastrointestinal or respiratory infections in up to two-thirds of patients. On rare occasions, people develop GBS after vaccination, but no causal association has been proven. In the current coronavirus disease 2019 (COVID-19) pandemic, some cases have been reported associating COVID-19 vaccine with GBS. Case presentation: We report a case of a 62-year-old woman with GBS after the first dose of the Oxford/AstraZeneca vaccine against SARS-CoV-2. The symptoms started 3 weeks after the vaccine, and were characterized by ascending and progressive paresthesia in the upper and lower limbs, followed by loss of strength of the upper limbs and dysphagia for solids. The hypothesis of GBS was confirmed by clinical presentation compatible with albuminocytologic dissociation in cerebrospinal fluid and based on the Brighton criteria level 2. The treatment was a 5-day course of intravenous immunoglobulin with an improvement of symptoms. Conclusions: In the absence of other causes, the diagnosis of GBS was made, with evidence of a clear temporal association with COVID-19 vaccine. However, a cautious position is important when assigning a particular side-effect directly to a vaccine. It is important to emphasize that it is a temporal association only and the benefits of COVID-19 vaccination continue to outweigh the possible consequences.

Indexed as

ChAdOx1 COVID‐19 vaccineCOVID‐19 vaccinesGuillain–Barré syndromeperipheral nervous system diseases

Identifiers

PMID34900000
PMCPMC8653182
OpenAlexW3207031975

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.