Coronavirus disease 2019 , caused by severe acute respiratory coronavirus 2 (SARS-CoV-2), is associated with Guillain-Barré syndrome (GBS). [1][2][3][4][5][6][7][8] We describe a patient with quadriplegic GBS with dysautonomia preceded by mild COVID-19-induced diarrhea.A 72-year-old man with coronary artery disease, hypertension, and alcohol abuse presented to a tertiary hospital with symmetric paresthesias and ascending appendicular weakness. Seven days earlier he had mild diarrhea, anorexia, and chills, without fever or respiratory symptoms. This condition resolved in 5 days. Weakness began 6 days after diarrhea, and the patient presented 1 day after neurological symptom onset.On admission, he was afebrile with normal vital signs. Mental status and cranial nerves were normal. Strength was 4/5 for neck flexion, and 3/5 for proximal upper and lower extremities bilaterally. Tendon

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