Relation of multiple cranial nerve dysfunction to the Guillain-Barre syndrome

Munsat, Theodore L.; Barnes, James E.

doi:10.1136/jnnp.28.2.115

Cited by 67 publications

(17 citation statements)

References 14 publications

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“…Hence, our patients demonstrated a cranial form of GBS, as described by Munsat and Barnes. 9 Anti-GQ1b IgG antibody is closely associated with acute ophthalmoplegia in Fisher syndrome and GBS. 2 Acute ophthalmoparesis without ataxia associated with anti-GQ1b IgG antibody has been considered a mild form of Fisher syndrome or a regional variant of GBS.…”

Section: Discussionmentioning

confidence: 99%

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Acute multiple cranial neuropathy: A variant of Guillain–Barré syndrome?

Lyu

Chen

2004

Muscle and Nerve

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Three patients with acute multiple cranial neuropathy following benign infectious disease are reported. Complete or partial ophthalmoplegia, as well as facial and bulbar dysfunction, were noted in all. Cranial nerve involvement was bilateral. Other neurological deficits included sensory loss in two patients and transiently reduced tendon reflexes in the left arm in one. One patient had positive serum anti-GQ1b immunoglobulin G antibody during the acute phase of the illness. The cerebrospinal fluid had a normal cell count in all three patients, with raised protein concentrations in two. Electrophysiological evaluation showed peripheral nerve dysfunction in two patients. All three patients improved either spontaneously or coincident with immunotherapy. Our patients had many clinical features resembling those of typical Guillain-Barré syndrome (GBS), and hence their disorder may represent a regional variant, that is, a cranial form, of GBS. This form of GBS accounted for 5% of the GBS patient population in our series.

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Section: Discussionmentioning

confidence: 99%

“…6 Occasional patients with acute multiple cranial neuropathy have been presumed to have a cranial form of GBS. 9 The purpose of this report is to present the clinical features of three patients with acute multiple cranial neuropathy admitted to our hospital over a 4-year period and to assess the possible diagnostic entity of their disorders.…”

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confidence: 99%

Acute multiple cranial neuropathy: A variant of Guillain–Barré syndrome?

Lyu

Chen

2004

Muscle and Nerve

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“…The presence of ‘cranial neuropathies of the GBS type’ has been described in the European literature even before the renowned description by Fisher 8. Guillain recognised the various presentations in GBS and at a Belgian symposium in 1938 proposed a clinical classification that takes into account the four topographical presentations: (1) involvement of the extremities only (‘ la forme inférieur ’); (2) deficits of both extremities and cranial nerves (‘ la forme mixte spinale et mésocéphalique ’); (3) a syndrome limited to the cranial nerves (‘ la forme mésocéphalique pure ’); and (4) polyradiculopathy and mentation change (‘ une forme de polyradiculonéurite avec troubles mentaux ’) .…”

Section: Historical Perspectivementioning

confidence: 99%

Bickerstaff brainstem encephalitis and Fisher syndrome: anti-GQ1b antibody syndrome

Shahrizaila

Yuki

2012

Journal of Neurology, Neurosurgery & Psychiatry

240

184

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“…The eye signs of patient 4 described by Munsat and Barnes resembled those in our patient, although the initial neurolog¬ ic symptoms were somewhat more varied in their patient's case. 6 The appearance of an acute upward gaze paresis requires rapid exclusion of a surgically treatable pretectal lesion. Guillain-Barré neuropathy, myasthenia, and botulism must then be considered promptly, to avoid unnecessary invasive diagnostic studies and to anticipate the possibili¬ ty of respiratory insufficiency.…”

Section: Commentmentioning

confidence: 99%