Evidence map›Paper›PMID 42411059›Full record

SynthesisImmunity, inflammation and disease2026

Arbovirus-Associated Guillain-Barré Syndrome: A Systematic Review and Meta-Analysis of Clinical Characteristics, Subtypes, and Vaccine Associations.

Eman Taha Osman Ali, Pierre Gashema, Patrick Gad Iradukunda, Emmanuel Edwar Siddig, Claude Mambo Muvunyi

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Immunity, inflammation and disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Eman Taha Osman AliFaculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan.ORCID https://orcid.org/0000-0002-3082-6212
Pierre GashemaDepartment of Research, Repolicy Research Centre, Kigali, Rwanda.ORCID https://orcid.org/0000-0001-9348-0936
Patrick Gad IradukundaDepartment of Drugs, Rwanda Food and Drugs Authority, Kigali, Rwanda.
Emmanuel Edwar SiddigFaculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan.ORCID https://orcid.org/0000-0001-6314-7374
Claude Mambo MuvunyiDepartment of Biomedical Service, Rwanda Biomedical Centre, Kigali, Rwanda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArboviral infections are increasingly recognized as triggers of Guillain-Barré syndrome (GBS), yet the clinical spectrum, subtype distribution, and strength of association across different arboviruses remain incompletely characterized. This systematic review and meta-analysis evaluated the epidemiology, clinical features, and outcomes of arbovirus-associated GBS.

methodsPubMed, Scopus, Web of Science, and Google Scholar were searched through early 2025 following PRISMA 2020 guidelines. Observational studies were included in the quantitative meta-analysis, while case reports and case series were synthesized qualitatively. Random-effects models were used to estimate pooled prevalence, odds ratios, and clinical outcomes.

resultsOne hundred studies were included, comprising 74 case reports/case series, 19 prevalence studies, and seven case-control studies. The pooled prevalence of GBS among individuals with arboviral infection was 1% (95% CI: 0.3%-3.3%), whereas 37% (95% CI: 22%-54%) of patients with GBS had laboratory evidence of recent arboviral infection. Arboviral co-infections occurred in 16% (95% CI: 8%-31%) of confirmed cases. Case-control studies demonstrated a significant association between Zika virus infection and GBS (OR = 8, 95% CI: 2-34). Qualitative synthesis showed frequent intensive care admission, mechanical ventilation, disability, and mortality. Demyelinating subtypes predominated in Zika virus-associated GBS, whereas axonal variants were more common following Japanese encephalitis virus infection.

conclusionsMultiple arboviruses are associated with GBS, with the strongest evidence for Zika virus. Arbovirus-associated GBS frequently results in severe neurological outcomes, highlighting the need for standardized diagnostics, enhanced surveillance, and prospective multicenter studies to improve understanding of disease mechanisms and optimize patient management.

Indexed as

ArbovirusesArbovirus InfectionsGuillain-Barre SyndromeViral VaccinesHumansPrevalenceViral Vaccinesarboviral Infectionsco‐infectionsGuillain‐Barré syndromeneurological complicationsZika virus

Identifiers

PMID42411059
PMCPMC13338631

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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.