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Case Reports
. 2016 Jul;10(7):OD01-2.
doi: 10.7860/JCDR/2016/19951.8092. Epub 2016 Jul 1.

Facial Diplegia with Paresthesia: An Uncommon Variant of Guillain-Barre Syndrome

Prabhat Kumar  1 , Riyaz Charaniya  2 , Anish Bahl  2 , Anindya Ghosh  2 , Juhi Dixit  2
Affiliations
Case Reports

Facial Diplegia with Paresthesia: An Uncommon Variant of Guillain-Barre Syndrome

Prabhat Kumar et al. J Clin Diagn Res. 2016 Jul.

Abstract

Facial nerve palsy (FNP) is a common medical problem and can be unilateral or bilateral. Unilateral facial palsy has an incidence of 25 per 100,000 population and most of them are idiopathic. However, facial diplegia or bilateral facial nerve palsy (B-FNP) is rare with an incidence of just 1 per 5,000,000 population and only 20 percent cases are idiopathic. Facial diplegia is said to be simultaneous if the other side is affected within 30 days of involvement of first side. Guillain-Barre Syndrome (GBS) is a common cause of facial diplegia and almost half of these patients have facial nerve involvement during their illness. Facial Diplegia with Paresthesias (FDP) is a rare localized variant of GBS which is characterized by simultaneous facial diplegia, distal paresthesias and minimal or no motor weakness. We had a patient who presented with simultaneous weakness of bilateral facial nerve and paresthesias. A diagnosis of GBS was made after diligent clinical examination and relevant investigations. Patient responded to IVIG therapy and symptoms resolved within two weeks of therapy.

Keywords: Bell’s palsy; Brighton criteria; Polyneuropathy; Sarcoidosis.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Loss of wrinkles on forehead and nasolabial fold.
[Table/Fig-2]:
[Table/Fig-2]:
Inability to close the eyes completely.
[Table/Fig-3]:
[Table/Fig-3]:
Recovery in facial diplegia after treatment.
[Table/Fig-4]:
[Table/Fig-4]:
Wrinkles on forehead and nasolabial fold appeared after treatment.
See this image and copyright information in PMC

References

    1. Teller DC, Murphy TP. Bilateral facial paralysis: A case presentation and literature review. The Journal of Otolaryngology. 1992;21:44–47. - PubMed
    1. Ho TW, Mishu B, Li CY, Gao CY, Cornblath DR, Griffin JW, et al. Guillain-Barré syndrome in northern China. Relationship to Campylobacter jejuni infection and anti-glycolipid antibodies. Brain. 1995;118(Pt 3):597–605. - PubMed
    1. Fahimi J, Navi BB, Kamel H. Potential misdiagnoses of Bell’s palsy in the emergency department. Ann Emerg Med. 2014;63(4):428–34. - PMC - PubMed
    1. Tan EK, Lim SH, Wong MC. Facial diplegia: cranial variant of Guillain Barre syndrome. JR Soc Med. 1999;92:26–27. - PMC - PubMed
    1. Ropper AH. Unusual clinical variants and signs in Guillain Barre syndrome. Arch Neurol. 1986;43:1150–52. - PubMed

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