Case Series


Guillain–Barré syndrome post stroke: Two case reports

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1 Interventional Neurology and Neuro Critical Care, Axon Stroke and Spine Center, Addis Ababa, Ethiopia

2 Internal Medicine, Axon Stroke and Spine Center, Addis Ababa, Ethiopia

3 Neurology and Neurosurgery, Axon Stroke and Spine Center, Addis Ababa, Ethiopia

4 General practitioner, Axon Stroke and Spine Center, Addis Ababa, Ethiopia

Address correspondence to:

Tariku Assefa Soboka

Interventional Neurology and Neuro Critical Care, Axon Stroke and Spine Center, Addis Ababa,

Ethiopia

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Article ID: 101529Z01TA2026

doi: 10.5348/101529Z01TA2026CS

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How to cite this article

Assefa T, Tekle W, Kebede E, Tsehayeneh F, Tirsit E, Ethiopia B, Wudeneh Y. Guillain–Barré syndrome post stroke: Two case reports. Int J Case Rep Images 2026;17(1):7–11.

ABSTRACT


Guillain–Barré syndrome (GBS) is the most common and most severe acute paralytic neuropathy. There are different variants of GBS with distinct clinical and pathological features. Most GBS cases are preceded by infection or other immune stimulation that induces an aberrant autoimmune response targeting peripheral nerves and their spinal roots. Molecular mimicry between microbial and nerve antigens is clearly a major driving force behind the development of the disorder, at least in the case of Campylobacter jejuni infection. Some patients have been developing GBS either following or concomitant with head trauma, neurosurgical procedures, and rarely following stroke. The exact mechanism is not well understood probably blood–brain barrier damage may play an essential role in triggering the autoimmune activation that leads to post-stroke GBS.

Keywords: Blood–brain barrier, Campylobacter jejuni, Guillain–Barré syndrome, Post-stroke GBS

SUPPORTING INFORMATION


Author Contributions

Tariku Assefa Soboka - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published

Wonwossen Tekle - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Eskedar Kebede - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Fikru Tsehayeneh - Acquisition of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Ebenezer Tirsit - Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Bereket Ethiopia - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Yonatan Wudeneh - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2026 Tariku Assefa et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.