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ISSN 1561-3194 (Electronic)

2016, Number 3

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Rev Ciencias Médicas 2016; 20 (3)

Facial diplegia as a presentation of Guillain-Barré syndrome

García MAJ, García EY

Language: Spanish
References: 11
Page: 376-379
PDF size: 199.56 Kb.


ABSTRACT

Introduction: the bilateral facial palsy is a rare symptom in medical practice, it represents between 0.6 and 1.6% of various series of facial paralysis. The facial nerve can be frequently affected in Guillain-Barré syndrome, but unilaterally. It is unusual for its initial presentation to observe a bilateral facial paralysis, without other neurological focus.
Case report: a 54-year old male patient, attending to the emergency room at Abel Santamaria Cuadrado General University Hospital with a bilateral facial paralysis without other neurological signs, which symptoms appeared 6 days after the beginning of the diplegia. The atypical presentation of Guillain-Barré syndrome with its onset of facial diplegia before taking the remaining peripheral nerves is rare; it stressed the importance of the clinical suspicion together with the laboratory findings; as a result the patient can benefit from a prompt treatment.
Discussion: the case described that peripheral polyneuropathy symptoms appeared six days after the onset of bilateral facial weakness. Generally facial diplegia appears after the motor symptoms of Guillain-Barré syndrome or associated with the phase of osteotendinous hyporeflexia.


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