POST- COVID-19 NEUROLOGICAL COMPLICATION: BULBAR GBS, A MERE COINCIDENCE OR SOMETHING MORE: A CASE REPORT

Sakshi Garg* and Shelly Garg

ABSTRACT

Covid-19 was first discovered in Wuhan, China. Covid is caused by SARS-CoV-2 virus. World Health Organization has declared Covid-19 as a pandemic. Symptoms include pyrexia, cough, malaise, and myalgia. Very few post-neurological complications of Covid-19 infection are recorded including GBS. Guillain-Barré syndrome or GBS is a rare auto-immune condition affecting the peripheral nerves leading to demyelination and finally paralysis. The aetiology of the disease is still not known, but people of all age are affected. It is believed to occur post-surgery, infection or even vaccine administration. Many variants of GBS are reported globally including AMAN, Pharyngeal-cervical-brachial, Bickerstaff Encephalitis, and Miller Fisher syndrome. It can be diagnosed using CSF examination, neurological examination, and electromyography. The possible treatment includes IVIG and plasma therapy. The most common side-effect being respiratory compromise and bulbar palsies. The exact cause and treatment of the deadly disease is not known yet. Just like during the Zika virus outbreak, many cases of GBS were reported, similarly various cases are being reported post-Covid infection. We present a case report of GBS with bulbar palsy, post- Covid-19 infection.

Keywords: Covid-19, Guillain-Barré syndrome, GBS, Miller Fisher syndrome.