期刊
BMJ CASE REPORTS
卷 14, 期 11, 页码 -出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/bcr-2021-246701
关键词
COVID-19; neurology; peripheral nerve disease; cranial nerves
This case highlights the importance of recognizing rare neurological complications post-vaccination, particularly GBS and MFS syndrome overlap, which have potential implications for patient counselling and monitoring.
We describe a patient who developed bilateral oculomotor nerve palsy, ataxia, facial diplegia and lower limb weakness 2 weeks post-Oxford-AstraZeneca SARS-CoV2 vaccination, consistent with Miller-Fisher syndrome (MFS) and Guillain-Barre syndrome (GBS) overlap syndrome. Although some features of the patient's presentation were typical of recently reported cases of a rare GBS variant post-Oxford-AstraZeneca vaccination, including severe facial weakness and a lack of respiratory involvement, to our knowledge this is the first reported case of MFS associated with SARS-CoV2 vaccination. While postvaccination GBS remains rare, it appears to have a favourable prognosis, and recognising this entity is therefore important for patient counselling and monitoring for potential complications.
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