Unilateral facial palsy in Guillain-Barre syndrome (GBS): a rare occurrence

Verma, Rajesh; Chaudhari, Tejendra S; Giri, Prithvi

doi:10.1136/bcr-2012-007077

Cited by 16 publications

(25 citation statements)

References 10 publications

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“…GBS has been known to present with bilateral facial nerve palsy,2 and one recent report illustrates a 65-year-old patient who developed unilateral facial palsy simultaneously with lower limb weakness 3. Our patient initially presented with lower limb weakness, and then progressed to develop left facial weakness approximately 2 weeks after initial onset of symptoms.…”

Section: Discussionmentioning

confidence: 55%

“…Cranial nerve involvement has been reported in 45–75% of patients with GBS, with facial nerve involvement being the most common. Facial palsy is often bilateral,2 and rarely unilateral 3. We report a case of an adolescent girl who initially presented with a classical history of GBS and was making improvement; however, during the second week of illness, she developed unilateral facial palsy, which prolonged her illness; but she eventually made a good recovery.…”

Section: Introductionmentioning

confidence: 92%

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Rare encounter of unilateral facial nerve palsy in an adolescent with Guillain-Barré syndrome

et al. 2016

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Unilateral facial nerve palsy is rarely encountered in Guillain-Barré syndrome (GBS). We report a case of an adolescent girl who presented with peripheral ascending weakness, preceded byCampylobacter jejuniinfection. After treatment with intravenous immunoglobulin, the peripheral weakness improved. Electro-diagnostic testing confirmed axonal dysfunction and the patient was positive for antiganglioside antibodies. However, the patient developed unilateral left-sided facial weakness. She was managed with further intravenous immunoglobulin and intensive physiotherapy. The outcome for facial palsy was very good, with almost complete resolution after 2 weeks.

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Section: Discussionmentioning

confidence: 55%

Section: Introductionmentioning

confidence: 92%

Rare encounter of unilateral facial nerve palsy in an adolescent with Guillain-Barré syndrome

et al. 2016

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“…Treatment of patients with variant GBS with facial diplegia and paresthesia remains controversial [18]. Patients with GBS may be treated with plasmapheresis or intravenous immunoglobulin (IVIG) [19,22–26].…”

Section: Discussionmentioning

confidence: 99%

Guillain-Barré Syndrome: A Variant Consisting of Facial Diplegia and Paresthesia with Left Facial Hemiplegia Associated with Antibodies to Galactocerebroside and Phosphatidic Acid

et al. 2017

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Patient: Male, 54Final Diagnosis: Guillain-Barré syndromeSymptoms: Paresthesia of extremities • unilateral facial palsyMedication: —Clinical Procedure: —Specialty: NeurologyObjective:Unusual clinical courseBackground:A rare variant of Guillain-Barré syndrome (GBS) consists of facial diplegia and paresthesia, but an even more rare association is with facial hemiplegia, similar to Bell’s palsy. This case report is of this rare variant of GBS that was associated with IgG antibodies to galactocerebroside and phosphatidic acid.Case Report:A 54-year-old man presented with lower left facial palsy and paresthesia of his extremities, following an upper respiratory tract infection. Physical examination confirmed lower left facial palsy and paresthesia of his extremities with hyporeflexia of his lower limbs and sensory loss of all four extremities. The differential diagnosis was between a variant of GBS and Bell’s palsy. Following initial treatment with glucocorticoids followed by intravenous immunoglobulin (IVIG), his sensory abnormalities resolved. Serum IgG antibodies to galactocerebroside and phosphatidic acid were positive in this patient, but not other antibodies to glycolipids or phospholipids were found. Five months following discharge from hospital, his left facial palsy had improved.Conclusions:A case of a rare variant of GBS is presented with facial diplegia and paresthesia and with unilateral facial palsy. This rare variant of GBS may which may mimic Bell’s palsy. In this case, IgG antibodies to galactocerebroside and phosphatidic acid were detected.

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“…Unilateral facial paralysis is a common clinical entity where the majority are due to idiopathic or Bell's palsy 4 . However, unilateral facial palsy, although uncommon, can be seen in GBS 5,6 . Unilateral facial palsy as the presenting feature of GBS has been found in 2 previous case reports 6 .…”

Section: Discussionmentioning

confidence: 99%

Isolated unilateral lower motor neuron facial palsy as the presenting feature of Guillain Barre Syndrome in a child

Sinhabahu

Wijesekara

2016

Sri Lanka J Child Health

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We report a rare presentation of a child with unilateral facial palsy that progressed to full blown Guillain Barre Syndrome (GBS) within the next three days. Case report An 11 year old girl presented with inability to close the left eye and water drooling from left corner of the mouth while drinking for one day. There was no history of preceding illness or trauma. Examination revealed isolated lower motor neuron type left facial nerve palsy grade V according to the House-Brackmann grading system 1. The rest of the neurological examination was normal with intact

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Unilateral facial palsy in Guillain-Barre syndrome (GBS): a rare occurrence

Cited by 16 publications

References 10 publications

Rare encounter of unilateral facial nerve palsy in an adolescent with Guillain-Barré syndrome

Rare encounter of unilateral facial nerve palsy in an adolescent with Guillain-Barré syndrome

Guillain-Barré Syndrome: A Variant Consisting of Facial Diplegia and Paresthesia with Left Facial Hemiplegia Associated with Antibodies to Galactocerebroside and Phosphatidic Acid

Isolated unilateral lower motor neuron facial palsy as the presenting feature of Guillain Barre Syndrome in a child

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