J Korean Soc Radiol.  2023 Jul;84(4):964-969. 10.3348/jksr.2022.0099.

MRI Features of Multiple Cranial Neuropathies in Guillain-Barré Syndrome Occurring after COVID-19 Vaccination: A Case Report

Affiliations
  • 1Department of Radiology, Presbyterian Medical Center, Jeonju, Korea
  • 2Department of Physical Medicine and Rehabilitation, Presbyterian Medical Center, Jeonju, Korea

Abstract

Guillain-Barré syndrome (GBS) is an immune-mediated demyelinating polyneuropathy characterized by progressive, ascending, and symmetrical paralysis. It is known to be triggered by an antecedent infection or vaccination. Recently, GBS development following coronavirus disease 2019 (COVID-19) vaccination has been reported. Cranial neuropathies in typical GBS patients usually involve the facial and the lower cranial nerves (from IX to XII). We report a rare case of multiple cranial neuropathies involving trigeminal, abducens, and facial nerves in a patient who developed GBS following COVID-19 vaccination on the basis of obvious MRI features.

Keyword

Guillain-Barré Syndrome; COVID-19 Vaccine; Cranial Neuropathy; Gadolinium
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