Facial Diplegia as an Initial Presentation of Guillain-Barré Syndrome
Published: April 1, 2023 | DOI: https://doi.org/10.7860/JCDR/2023/60781.17720
Aravind Surya Maddali, Karri Vijaya Phani Vardhan Reddy, Suganya Kavi, Tumbanatham Apikkatla
1. Junior Resident, Department of General Medicine, MGMCRI, Puducherry, India.
2. Junior Resident, Department of General Medicine, MGMCRI, Puducherry, India.
3. Assistant Professor, Department of General Medicine, MGMCRI, Puducherry, India.
4. Professor, Department of General Medicine, MGMCRI, Puducherry, India.
Correspondence
Dr. K Suganya,
No. 10, Sundaram Nagar, Near Alpet Check Post, Cuddalore, Tamil Nadu, India.
E-mail: suganyakavi1028@gmail.com
Guillain-Barré Syndrome (GBS) is an acquired immune mediated inflammatory and demyelinating disorder of the peripheral nervous system. This case report is about a 30-year-old female who presented with unilateral facial palsy which progressed to bilateral facial nerve palsy without motor weakness of limbs. Cerebrospinal Fluid (CSF) analysis showed albuminocytological disassociation and Nerve Conduction Studies (NCS) of face showed decreased conduction velocity of nasalis and orbicularis oculi nerves. The patient was treated with intravenous immunoglobulin (0.4 g/kg/day) for five days and showed complete recovery. The present case is reported due to its rarity in presentation i.e. bilateral facial nerve palsy in the initial days of presentation.
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