Zika virus infection and Guillain-Barre syndrome: a review focused on clinical and electrophysiological subtypes

作者:Uncini Antonino*; Shahrizaila Nortina; Kuwabara Satoshi
来源:Journal of Neurology Neurosurgery and Psychiatry, 2017, 88(3): 266-271.
DOI:10.1136/jnnp-2016-314310

摘要

In 2016, we have seen a rapid emergence of Zika virus-associated Guillain-Barre syndrome (GBS) since its first description in a French-Polynesian patient in 2014. Current evidence estimates the incidence of GBS at 24 cases per 100 000 persons infected by Zika virus. This will result in a sharp rise in the number of GBS cases worldwide with the anticipated global spread of Zika virus. A better understanding of the pathogenesis of Zika-associated GBS is crucial to prepare us for the current epidemic. In this review, we evaluate the existing literature on GBS in association with Zika and other flavivirus to better define its clinical subtypes and electrophysiological characteristics, demonstrating a demyelinating subtype of GBS in most cases. We also recommend measures that will help reduce the gaps in knowledge that currently exist.

  • 出版日期2017-3