A case report of Guillain–Barré syndrome in a pregnant woman infected by COVID-19

Neurological disease in pregnant females with COVID ‐19 may not only be attributable to SARS‐CoV ‐2

“…2 Upon the clinical presentation and nerve conduction studies (NCSs), acute demyelinating polyneuropathy (AIDP) was diagnosed. 2 The patient profited significantly from intravenous immunoglobulins (IVIG). 2 A second patient not included in the review although published in October 2021 is a 32-year-old pregnant female in her 8th month of gestation who was admitted for headache, tingling, and quadruparesis and was tested SARS-CoV-2 positive on admission.…”

“…2 The patient profited significantly from intravenous immunoglobulins (IVIG). 2 A second patient not included in the review although published in October 2021 is a 32-year-old pregnant female in her 8th month of gestation who was admitted for headache, tingling, and quadruparesis and was tested SARS-CoV-2 positive on admission. 3 Six hours after emergency cesarean section, she developed bradycardia and respiratory insufficiency requiring resuscitation and mechanical ventilation.…”

Reply: Neurological disease in pregnant females with COVID ‐19 may not only be attributable to SARS‐CoV ‐2

“…We appreciate the interest and observations of Professor Finsterer 1 regarding our recently published review article. 2 The other three pregnant women with COVID‐19 and neurological complications, 3 , 4 , 5 which he identified, were not included in our original article, even though we had been careful during the search process using broad terms in several combinations as described in the Methods section. 2 He summarized 1 a new stroke case 5 and two new cases of Guillain‐Barré syndrome (GBS) 3 , 4 in pregnant women with COVID‐19.…”

“… 2 The other three pregnant women with COVID‐19 and neurological complications, 3 , 4 , 5 which he identified, were not included in our original article, even though we had been careful during the search process using broad terms in several combinations as described in the Methods section. 2 He summarized 1 a new stroke case 5 and two new cases of Guillain‐Barré syndrome (GBS) 3 , 4 in pregnant women with COVID‐19. Therefore, we have herein revised 10 patients with central nervous system (CNS) involvement (48%) and 11 patients with peripheral nervous system (PNS) involvement (52%) in order to compare with our previous results.…”

“…Two new cases 4 , 5 presented normal blood tests (abnormal blood tests = 15/17, 88%), and one new case 4 presented changes in the chest image (total = 11/11, 100%). Two women 3 , 4 also received immunotherapy (total = 15/19, 79%). We found no differences when the CNS and PNS involvement subgroups were compared for all the above variables.…”