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. 2020 Nov 14;83:119–122. doi: 10.1016/j.jocn.2020.11.013

Table 4.

Characteristics of Three Patients with Guillain–Barré Syndrome after the Onset of Covid-19.

Patient No. Characteristics Onset of Neurologic symptoms Neurologic Signs and Symptoms CSF analysis EDX subtype Treatment Outcome
1 88-year-old woman two days prior to admission with severe fatigue and low back pain Paraparesis developed to quadriparesis, absent DTR in lower limbs and decreased DTR in upper limbs WBC < 10 cell/µl
Elevated protein level (88 mg/dl)
AMSAN Plasma exchange Favorable, discharged 15 days followed by the admission
2 47-year-old man About a week prior to admission, coincide with respiratory symptoms Dysarthria and decreased DTR in lower limbs followed by quadriparesis WBC < 10 cell/µl
Elevated protein level (154 mg/dl)
AMSAN Plasma exchange Death on the 4th day of admission
3 58-year-old man 7 days followed by admission muscle weakness, gait disturbance and areflexia WBC < 10 cell/µl
Elevated protein level (65 mg/dl)
AMSAN IVIg & Plasma exchange Death on the 20th day of admission

CSF, cerebrospinal fluid; EDX, electrodiagnosis; DTR, deep tendon reflex; RBC, red blood cell; WBC, white blood cell; AMSAN, acute motor-sensory axonal neuropathy; IVIg, intravenous immune globulin.