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http://dx.doi.org/10.6114/jkood.2022.35.1.081

Bilateral Facial Palsy in a Patient with Guillain-Barre Syndrome after COVID-19 Vaccination  

Kim, Jee-Hee (Dept. of korean Medicine Ophthalmology & Otolaryngology & Dermatology, Clinical Korean Medicine, Dong-Eui Unitversity)
Ko, Woo-Shin (Dept. of korean Medicine Ophthalmology & Otolaryngology & Dermatology, Clinical Korean Medicine, Dong-Eui Unitversity)
Yoon, Hwa-Jung (Dept. of korean Medicine Ophthalmology & Otolaryngology & Dermatology, Clinical Korean Medicine, Dong-Eui Unitversity)
Publication Information
The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology / v.35, no.1, 2022 , pp. 81-90 More about this Journal
Abstract
Objectives : The purpose of this study is to report a case of bilateral facial palsy in a patient with Guillain-Barre Syndrome after coronavirus disease 2019(COVID-19) vaccination. Methods : The patient diagnosed as Guillain-Barre Syndrome and Bilateral facial palsy after COVID-19 vaccination. We applied Korean medical treatment including acupuncture and herbal medicine for bilateral facial palsy. We used HBGS(House-Brackmann Grading System), VAS(Visual Analog Scale) to estimate the symptoms. Results : After the treatment, both facial palsy showed big improvement. Compared to the onset, HBGS improved by Grade 1/2 and VAS by 2. Conclusions : This case report shows effect of Korean medicine on Bilateral facial palsy and suggests a possibility of Korean medicine to treat adverse events following COVID-19 vaccination.
Keywords
Bell's palsy; Guillain-Barre Syndrome; COVID-19 vaccination;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Lee CW, Lee SM, Jeon JH, Kim JI, Kim YI. Effects of Needle-Embedding Therapy on Sequelae of Peripheral Facial Palsy : A Case Series. Journal of Acupuncture Research. 2011;28(4):93-103.
2 Korean Neurological Association. Neurology. Seoul:Panmuneducation. 2015:703-5.
3 Sriwastava S, Kataria S, Tandon M, Patel J, Patel R, Jowkar A, et al. Guillain Barre Syndrome and its variants as a manifestation of COVID-19: A systematic review of case reports and case series. Journal of the neurological sciences. 2021[cited 2022 JAN 15]. Available from: https://doi.org/10.1016/j.jns.2020.117263   DOI
4 Wan EYF, Chui CSL, Lai FTT, Chan EWY, Li X, Yan VKC. Bell's palsy following vaccination with mRNA (BNT162b2) and inactivated (CoronaVac) SARS-CoV-2 vaccines: a case series and nested case-control study. The Lancet Infectious Diseases 2021;22(1):64-72.
5 Burrows A, Bartholomew T, Rudd J, Walker D. Sequential contralateral facial nerve palsies following COVID-19 vaccination first and second doses. BMJ Case Reports CP. 2021;14(7):1-3.
6 Academic committee of korean pharma- copuncture institute. Pharmacopuncturology. Seoul:Elsevier Korea. 2011:215,216.
7 Yoo HJ, Kim GJ. Analysis of Pharmaco- puncture Used in Facial Nerve Palsy Articles that Published in the Journal of Korean Medicine. 2019;32(3):105-15.   DOI
8 Kim JS, Park SY, Kim KS, Kim KO, Wei TS, Choi CW, et al. The Effect of Needle- Embedding Therapy on Peripheral Facial Paralysis. J Korean Med Ophthalmol Otolaryngol Dermatol. 2015;28(2):45-53.   DOI
9 Kim JI, Koh HK, Kim CH. A study of facial nerve grading system. The Journal of Korean Acupuncture & Moxibustion Society. 2001;18(2):1-17.
10 Kim KW, Kim SS, Lee JS, Chung SH. A Clinical Case Study on Guillain-Barre Syndrome Complaining Both Lower Extremity Weakness with Oriental Medical Treatment. The Journal of Korea CHUNA manual medicine for spine & nerves. 2011;6(1):27-33.
11 Hong WS. Jeong-gyohwangjenaegyeongyeongchu. Seoul: Oriental Medicine Research Institute. 1995:102.
12 Department of Simgye Internal Medicine in national university of Korean Medicine. Cardiology. Neurology of Korean Medicine. Seoul:Gunja publisher. 2010:426-34.
13 Mark R. Geier, David A. Geier, Arthur C. Zahalsky. Influenza vaccination and Guillain Barre syndrome☆. Clinical Immunology. 2003;107(2):116-21.   DOI
14 Shrestha S, Khatri J, Shakya S, Danekhu K, Khatiwada AP, Sah R, et al. Adverse events related to COVID-19 vaccines: the need to strengthen pharmacovigilance monitoring systems. Drugs & Therapy Perspectives. 2021;1-7.
15 Moylett EH, Hanson IC. Mechanistic actions of the risks and adverse events associated with vaccine administration. Journal of Allergy and Clinical Immunology. 2004;114(5):1010-20.   DOI
16 Chung EH. Coronavirus disease 2019 vaccines and relevant adverse reactions. Allergy asthma & respiratory disease. 2021;9(3):124-35.   DOI
17 Carod-Artal FJ. Neurological complications of coronavirus and COVID-19. Rev Neurol. 2020;70(9):311-22.   DOI
18 Shao SC, Wang CH, Chang KC, Hung MJ, Chen HY, Liao SC. Guillain-Barre Syndrome Associated with COVID-19 Vaccination. Emerging Infectious Diseases. 2021;27(12):3175-8.   DOI
19 Varkal MA, Uzunhan TA, Aydinli N, Ekici B, Caliskan M, Ozmen M. Pediatric guillain- barre syndrome: indicators for a severe course. Annals of Indian Academy of Neurology. 2015;18(1):24-8.   DOI
20 Gaudin RA, Jowett N, Banks CA, Knox CJ, Hadlock TA. Bilateral facial paralysis: a 13-year experience. Plastic and Reconstruc- tive Surgery. 2016;138(4):879-87.   DOI
21 Baugh RF, Basura GJ, Ishii LE, Schwartz SR, Drumheller CM, Burkholder R, et al. Clinical Practice Guideline Summary: Bell's Palsy. Otolaryngology-Head and Neck Surgery Bulletin. 2013:34-42.
22 Fauci A, Braunwald E, Kasper D, Hauser S, Longo D, Jameson J, et al. Harrison's Principles of Internal Medicine 17th edition. Seoul: McGraw-Hill Professional. 2010:3203-7.
23 Korea Institue of Oriental Medicine. Idiopathic Facial Palsy Korean Medicine Clinical Practice Guideline. rev. ed. Seoul:Elsevier Korea. 2015:22-9.
24 Oliver SE, Gargano JW, Scobie H, Wallace M, Hadler SC, Leung J, et al. The Advisory Committee on Immunization Practices' Interim Recommendation for Use of Janssen COVID-19 Vaccine. MMWR. 2021;70(9):329-32.