The Ultimate Poker Face: A Case Report of Facial Diplegia, a Guillain-Barré Variant

INTRODUCTION: Facial diplegia, a rare variant of Guillain-Barré syndrome (GBS), is a challenging diagnosis to make in the emergency department due to its resemblance to neurologic Lyme disease. CASE REPORT: We present a case of a 27-year-old previously healthy man who presented with bilateral facial...

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Detalles Bibliográficos
Autores principales: Lowe, Joshua, Pfaff, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220008/
https://www.ncbi.nlm.nih.gov/pubmed/32426658
http://dx.doi.org/10.5811/cpcem.2020.2.45556
Descripción
Sumario:INTRODUCTION: Facial diplegia, a rare variant of Guillain-Barré syndrome (GBS), is a challenging diagnosis to make in the emergency department due to its resemblance to neurologic Lyme disease. CASE REPORT: We present a case of a 27-year-old previously healthy man who presented with bilateral facial paralysis. DISCUSSION: Despite the variance in presentation, the recommended standard of practice for diagnostics (cerebrospinal fluid albumin-cytological dissociation) and disposition (admission for observation, intravenous immunoglobulin, and serial negative inspiratory force) of facial diplegia are the same as for other presentations of GBS. CONCLUSION: When presented with bilateral facial palsy emergency providers should consider autoimmune, infectious, idiopathic, metabolic, neoplastic, neurologic, and traumatic etiologies in addition to the much more common neurologic Lyme disease.

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