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. 2020 Sep 16;39:125–128. doi: 10.1016/j.ajem.2020.09.029

Table 2.

Laboratory parameters, Imaging and clinical outcomes of four cases presenting with Covid-19 associated GBS.

Case Chest X ray NCS findings CSF MRI spine Treatment Outcome
1 Normal Pure motor axonal polyneuropathy Protein: 54 mg% Glucose:114 mg% Mild degenerative changes. IVIG: 2 g/kg over 5 days Good improvement (Able to walk independently at discharge)
Cells = 5 cells/cmm; all lymphocytes No Cord changes
No nerve root enhancement
2 Ill-defined inhomogeneous infiltrates involving predominantly the upper lobes Severe demyelinating sensorimotor polyneuropathy affecting all 4 limbs with evidence of conduction block involving both ulnar nerves. Protein: 74 mg% Glucose:110 mg% Mild degenerative changes. IVIG: 2 g/kg over 5 days with supportive treatment Deteriorated over the course of treatment.
Cells = 0 cells/cmm. No Cord changes
No nerve root enhancement Day 2 into IVIg therapy, power in all 4 limbs had reduced to grade 1/5 and patient developed severe respiratory distress requiring intubation and mechanical ventilation.
His respiratory involvement due to Covid-19 also continued to worsen and the patient expired after
7 days of hospital admission.
3 Normal Axonal sensorimotor polyneuropathy affecting all 4 limbs Protein: 84 mg% glucose: 94 mg% Mild degenerative changes. IVIG: 2 g/kg over 5 days Good improvement (Able to walk independently at discharge)
Cells = 5 cells/cmm; all lymphocytes No Cord changes
No contrast enhancement
4 Bilateral lower and midzone infiltrates Pure motor demyelinating polyneuropathy involving all 4 limb and bifacial demyelinating neuropathy. Protein: 52 mg%; Mild degenerative changes. IVIG: 2 g/kg over 5 days Good improvement (Able to walk independently at discharge)
Glucose: 54 mg%
Cells: <5 cells/cmm; all lymphocytes No Cord changes