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The effects of intravascular photobiomodulation on sleep disturbance caused by Guillain-Barré syndrome after Astrazeneca vaccine inoculation: Case report and literature review.
Chang, Yuan-Ling; Chang, Shin-Tsu.
  • Chang YL; Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
  • Chang ST; Department of Anesthesiology, Kaohsiung Armed Forces General Hospital, No.2, Zhongzheng 1st Rd., Lingya Dist., Kaohsiung, Taiwan.
Medicine (Baltimore) ; 101(6): e28758, 2022 Feb 11.
Article in English | MEDLINE | ID: covidwho-1708012
ABSTRACT
RATIONALE Sleep disturbance is commonly noted after Guillain-Barré syndrome (GBS) and is often caused by persistent discomfort after disease survival. Intravascular laser irradiation of blood (ILIB) has been shown to be effective in pain modulation owing to the influence of nociceptive signals in the peripheral nervous system. We investigated the application of ILIB on post-Oxford -AstraZeneca vaccination GBS and evaluated its effect on sleep quality. PATIENT CONCERNS A 48-year-old woman was subsequently diagnosed with GBS after Oxford-AstraZeneca vaccination. The patient was discharged after a 5-day course of intravenous immunoglobulin administration. However, 1 week after discharge, the previously relieved symptoms flared with accompanying sleep disturbance. DIAGNOSIS AND

INTERVENTIONS:

The patient was diagnosed with post-vaccination GBS, and persistent pain and sleep disturbances persisted after disease survival. ILIB was performed.

OUTCOMES:

We used the Pittsburgh Sleep Quality Index before and after intravascular laser irradiation. There was a marked improvement in the sleep duration, efficiency, and overall sleep quality. The initial score was 12 out of 21 and the final score was 7 out of 21. LESSONS We found that ILIB was effective in pain modulation in post-vaccination GBS and significantly improved sleep quality.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Sleep Wake Disorders / Guillain-Barre Syndrome / Low-Level Light Therapy Type of study: Etiology study / Reviews Topics: Long Covid / Vaccines Limits: Female / Humans / Middle aged Language: English Journal: Medicine (Baltimore) Year: 2022 Document Type: Article Affiliation country: MD.0000000000028758

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Sleep Wake Disorders / Guillain-Barre Syndrome / Low-Level Light Therapy Type of study: Etiology study / Reviews Topics: Long Covid / Vaccines Limits: Female / Humans / Middle aged Language: English Journal: Medicine (Baltimore) Year: 2022 Document Type: Article Affiliation country: MD.0000000000028758