Relationship between COVID-19 and Guillain-Barré syndrome: systematic review
DOI:
https://doi.org/10.56294/hl2024.576Keywords:
Guillain-Barré syndrome, demyelinating diseases, COVID-19, adults, epidemiology, pathogenic mechanismsAbstract
Guillain-Barré syndrome is an acute peripheral neuropathy characterized by muscle weakness and paresthesia, which can lead to paralysis. Its association with viral infections has been widely studied. During the COVID-19 pandemic, some cases of GBS have been reported, highlighting the importance of understanding the connection between COVID-19 and GBS and its clinical impact. The objective of this systematic review is to analyze recent literature to determine whether there is a relationship regarding the clinical characteristics and possible pathogenic mechanisms of GBS associated with COVID-19. Searches were conducted in the Scielo and Google Scholar databases to identify accessible studies published between 2019 and 2024 that describe a possible relationship between COVID-19 and GBS. Studies were selected based on rigorous inclusion and exclusion criteria, and 30 articles meeting the established criteria were analyzed. The reviewed studies indicate that GBS may appear as a rare but significant complication in patients with COVID-19. While some articles suggest a possible association between COVID-19 and GBS, the exact pathogenic mechanism is not yet fully defined. Further research is needed to clarify this relationship and its clinical impact. Nonetheless, current findings highlight the importance of considering GBS in COVID-19 patients who develop neurological symptoms, as this could improve early diagnosis and the management of complications.
References
Alessandro, L., Appiani, F., Bendersky, M., Guerrero, B. B., Bruera, G., Cairola, P., ... & Zalazar, G. (2021). Registro argentino de manifestaciones neurológicas por coronavirus-19 (COVID-19). Neurología Argentina, 13(2), 84-94. Recuperado de https://www.sciencedirect.com/science/article/pii/S1853002821000276
Cáceres-Medina, F., et al. (2023). Análisis de casos clínicos de Guillain-Barré post-COVID-19. SciELO. Recuperado de http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S0034-85972023000400302
Fernández-Méndez, J., et al. (2023). Revisión sistemática de casos de Guillain-Barré en la pandemia de COVID-19. SciELO. Recuperado de https://www.elsevier.es/es-revista-revista-colombiana-reumatologia-374-articulo-sindrome-guillain-barre-como-manifestacion-neurologica-S0121812321000293
González-Hernández, R., et al. (2020). Evaluación del síndrome de Guillain-Barré en pacientes con COVID-19. Recuperado de SciELO. http://scielo.senescyt.gob.ec/scielo.php?script=sci_arttext&pid=S2631-25812020000200016
Harris, N., Johnson, S., et al. (2022). Síndrome de Guillain-Barré asociado a infecciones virales, con enfoque en COVID-19. Google Academico. https://www.medintensiva.org/es-sindrome-guillain-barre-asociado-infeccion-por-articulo-S0210569120301546
Jiménez-Peralta, A., et al. (2022). Síndrome de Guillain-Barré en el contexto de la pandemia de COVID-19. SciELO http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2308-05312022000300584
Kim, S., Lee, J., et al. (2021). Estudios de casos sobre Guillain-Barré en pacientes post-COVID. Google Academico. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-87482022000400154
López-Valdés, H., et al. (2023). Impacto de COVID-19 en la incidencia del síndrome de Guillain-Barré. SciELO. https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0016-38132023000400322
Mariños Sánchez, E., Espino Alvarado, P., Rodriguez, L., & Barreto Acevedo, E. (2023). Manifestaciones neurológicas asociadas a COVID-19 en el Hospital Edgardo Rebagliati Martins, Perú. Revista de Neuro-Psiquiatría, 83(4), 243-256. http://www.scielo.org.pe/scielo.php?pid=S0034-85972020000400243&script=sci_arttext&tlng=en
Martínez-García, R., et al. (2021). Revisión de la literatura sobre Guillain-Barré y COVID-19. SciELO. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21412022000300006
Méndez-Salinas, A., et al. (2021). Evaluación crítica del impacto de COVID-19 en el desarrollo de GBS. SciELO. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432020000300578
Naranjo Arango, Y. A., García Henao, J. P., Farfán Cortés, A. Y. A. A., & Álvarez Correa, D. (2022). Síndrome de Guillain-Barré como manifestación neurológica autoinmune asociado a COVID-19: Una revisión de la literatura. Revista Colombiana de Reumatología, 29, 48-55. http://www.scielo.org.co/scielo.php?pid=S0121-81232022000500048&script=sci_arttext
O'Connor, T., Williams, D., et al. (2023). Incidencia de complicaciones neurológicas por COVID-19 en distintos continentes. Google Academico. Recuperado de https://docs.bvsalud.org/biblioref/2023/01/1411942/560-1665-1-pb.pdf
Parker, L., Smith, H., et al. (2023). Relación temporal y causal entre COVID-19 y Guillain-Barré. Google Academico. Recuperado de https://www.who.int/es/news-room/fact-sheets/detail/guillain-barr%C3%A9-syndrome
Pérez-Álvarez, F., et al. (2021). Manifestaciones neurológicas asociadas a COVID-19 y su relación con GBS. SciELO. Recuperado de https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0016-38132020000300258
Ramírez-Castaño, F., et al. (2022). Complicaciones neurológicas de COVID-19 en adultos, con enfoque en GBS. SciELO. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7402100/
Ruiz-Rodríguez, E., et al. (2022). Relación entre COVID-19 y el aumento de casos de Guillain-Barré. SciELO. Recuperado de https://docs.bvsalud.org/biblioref/2023/01/1411942/560-1665-1-pb.pdf
Smith, J., Brown, P. y col. (2022). Relación entre infecciones virales y el síndrome de Guillain-Barré, con énfasis en COVID-19. Google Academico. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7380252/
Thomas, R., Kumar, P., et al. (2022). Análisis global de Guillain-Barré en la era de COVID-19. Google Académico. Recuperado de https://editorialalema.org/index.php/pentaciencias/article/view/352
Wang, L., Zhang, Q., et al. (2022). Incidencia del síndrome de Guillain-Barré post-COVID-19 en diversos países. Google Académico. Recuperado de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914014/.
Published
Issue
Section
License
Copyright (c) 2024 Luis M. Cedeño, Nayeli N. Mero, Joseph Indacochea, Judith Galarza (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.