This is a letter to the editor disputing the diagnosis in a case report entitled, Acute disseminated encephalomyelitis (ADEM) after SARS- CoV-2 vaccination.
"We read with interest the article by Yazdanpanah et al about a 37 years [sic] old male who developed quadruparesis, facial diplegia, dysphagia, respiratory insufficiency, drooling, nausea, and vomiting 1 month after the first dose of the whole virus Sinopharm vaccine. A few days after the vaccination he became lethargic and developed intermittent myalgia why [sic] Guillain-Barre syndrome (GBS) was initially suspected...
We do not agree with the diagnosis ADEM. More likely than ADEM, the index patient suffered from GBS, subtype brainstem Bickerstaff encephalitis (BBE)... BBE has been previously reported as a complication of SARS-CoV-2 vaccines."
© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington
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