Hyperacute onset of Guillain Barre Syndrome in the immediate postpartum period following Caesarean section under spinal anaesthesia

Guillain-Barré Syndrome After Revision Lumbar Surgery: A Case Report

“…A retrospective review in 2012 by Gensicke, et al demonstrated that 9.5% of GBS cases had surgery six weeks prior and their relative risk of contracting GBS was 13.1 times higher when compared to the normal population [ 4 ]. There are case reports across various surgical fields including bariatric surgery, cancer surgery, transplant surgery, and shortly after anesthesia that may suggest that surgery could be a trigger for GBS [ 5 - 7 ].…”

Guillain-Barré Syndrome During the Postpartum Period

“…In some cases, the management of this rare presentation requires a transfer to intensive care units for artificial ventilation [ 18 ]. To the best of our knowledge, only one case of GBS in a postpartum patient after cesarean section under spinal anesthesia has been described; however, there is no strong evidence supporting the association of neuraxial anesthesia and GBS [ 19 ]. Other rare presentations are described in the medical literature, such as relapsing GBS during pregnancy and postpartum and also congenital GBS in a newborn of an affected mother [ 20 ].…”

SARS-CoV-2 associated or post partum Guillain Barre syndrome?

“…The main shortcoming of the study is that a causal relation between SARS-CoV-2 and GBS was postulated (first part of discussion) without providing evidence for such a relation [1]. In the discussion it is already mentioned that pregnancy and more frequently the post-partal period can be complicated by GBS [1,2]. GBS during pregnancy has been shown to resolve rapidly during the post-partial period [3].…”