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. 2020 Dec 1;94(1117):20200812. doi: 10.1259/bjr.20200812

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© 2020 The Authors. Published by the British Institute of Radiology

This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License http://creativecommons.org/licenses/by/4.0/, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

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Figure 16. — A 25-year-old male presented to the ED with upper and lower limb weakness which progressed gradually over the past 2 days, associated with pain in the upper neck region. He was also complaining of fever and diarrhea for the last 5 days, with no respiratory symptoms. He tested positive for COVID-19. His neurological examination showed power of 3/5 in all four limbs, which got worse to become 1-2/5 in all limbs in the subsequent days. He was started on IVIG with mild improvement of the lower limb weakness over next 5 weeks. MRI at upper lumbar and cauda equina level (a) axial T₂ and (b) T₁WI post-i.v. contrast demonstrates thickening and post contrast enhancement of intradural ventral nerve roots, consistent with Guillain-Barre syndrome (Arrows in a and b). ED, emergency department;IVIG, i.v. immunoglobulin.