Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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MRI Features of Multiple Cranial Neuropathies in Guillain-Barré Syndrome Occurring after COVID-19 Vaccination: A Case Report

COVID-19 백신 접종 후 발생한 길랑-바레증후군에서 보이는 다발성 뇌신경병증의 MRI 소견: 증례 보고

  • Youngsoo Soh (Department of Radiology, Presbyterian Medical Center) ;
  • Eun Ae Yoo (Department of Radiology, Presbyterian Medical Center) ;
  • Eun-Sil Kim (Department of Physical Medicine and Rehabilitation, Presbyterian Medical Center) ;
  • Soo Jung Kim (Department of Radiology, Presbyterian Medical Center)
  • 소영수 (전주예수병원 영상의학과) ;
  • 유은애 (전주예수병원 영상의학과) ;
  • 김은실 (전주예수병원 재활의학과) ;
  • 김수정 (전주예수병원 영상의학과)
  • Received : 2022.06.26
  • Accepted : 2022.11.13
  • Published : 2023.07.01
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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.

길랑-바레증후군은 면역 매개 탈수초성 다발신경병으로서, 상향 진행성과 좌우 대칭적 마비를 특징으로 하며, 선행 감염이나 예방접종 등에 의해 유발되는 것으로 알려져 있다. 최근 코로나바이러스감염증-19 예방접종 후 길랑-바레증후군 발생이 보고되었다. 길랑-바레증후군에서 보이는 뇌신경병증은 주로 안면신경과 하부뇌신경을 침범한다. 저자들은 코로나바이러스 감염증-19 예방접종 후 발생한 길랑-바레증후군 환자에서 삼차신경, 외전신경, 안면신경을 침범한 다발성 뇌신경병증 사례를 자기공명영상 소견에 기반하여 보고하고자 한다.

Keywords

References

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