A Rare Case Report of Guillain–Barré Syndrome Presenting as Unilateral Facial Palsy with Isolated acute Bulbar Palsy

Guillain–Barré syndrome (GBS) is an immune-mediated acute inflammatory polyradiculoneuropathy and it is the most common cause of acute flaccid paralysis worldwide. There are some rare variants of GBS, which may be easily missed unless suspected. Here we present a case of GBS presenting as isolated a...

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Autores principales: Yadav, Prachi, Dhaka, Sahil, Chaudhary, Richa, Damke, Sachin, Lohiya, Sham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7519738/
https://www.ncbi.nlm.nih.gov/pubmed/33042253
http://dx.doi.org/10.4103/jpn.JPN_129_19
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author Yadav, Prachi
Dhaka, Sahil
Chaudhary, Richa
Damke, Sachin
Lohiya, Sham
author_facet Yadav, Prachi
Dhaka, Sahil
Chaudhary, Richa
Damke, Sachin
Lohiya, Sham
author_sort Yadav, Prachi
collection PubMed
description Guillain–Barré syndrome (GBS) is an immune-mediated acute inflammatory polyradiculoneuropathy and it is the most common cause of acute flaccid paralysis worldwide. There are some rare variants of GBS, which may be easily missed unless suspected. Here we present a case of GBS presenting as isolated acute bulbar palsy. A 10-month-old infant, known case of tricuspid atresia with pulmonary stenosis, presented with left-sided lower motor neuron type of facial palsy and palsy of bilateral glossopharyngeal and vagus nerve of 2 weeks’ duration. On detailed neurological examination, motor and sensory system were normal. Nerve conduction study showed demyelinating motor neuropathy and hence the diagnosis of GBS was made. To the best of our knowledge, no case of isolated bulbar palsy due to GBS in infancy has been reported.
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spelling pubmed-75197382020-10-09 A Rare Case Report of Guillain–Barré Syndrome Presenting as Unilateral Facial Palsy with Isolated acute Bulbar Palsy Yadav, Prachi Dhaka, Sahil Chaudhary, Richa Damke, Sachin Lohiya, Sham J Pediatr Neurosci Case Report Guillain–Barré syndrome (GBS) is an immune-mediated acute inflammatory polyradiculoneuropathy and it is the most common cause of acute flaccid paralysis worldwide. There are some rare variants of GBS, which may be easily missed unless suspected. Here we present a case of GBS presenting as isolated acute bulbar palsy. A 10-month-old infant, known case of tricuspid atresia with pulmonary stenosis, presented with left-sided lower motor neuron type of facial palsy and palsy of bilateral glossopharyngeal and vagus nerve of 2 weeks’ duration. On detailed neurological examination, motor and sensory system were normal. Nerve conduction study showed demyelinating motor neuropathy and hence the diagnosis of GBS was made. To the best of our knowledge, no case of isolated bulbar palsy due to GBS in infancy has been reported. Wolters Kluwer - Medknow 2020 2020-06-27 /pmc/articles/PMC7519738/ /pubmed/33042253 http://dx.doi.org/10.4103/jpn.JPN_129_19 Text en Copyright: © 2020 Journal of Pediatric Neurosciences http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Yadav, Prachi
Dhaka, Sahil
Chaudhary, Richa
Damke, Sachin
Lohiya, Sham
A Rare Case Report of Guillain–Barré Syndrome Presenting as Unilateral Facial Palsy with Isolated acute Bulbar Palsy
title A Rare Case Report of Guillain–Barré Syndrome Presenting as Unilateral Facial Palsy with Isolated acute Bulbar Palsy
title_full A Rare Case Report of Guillain–Barré Syndrome Presenting as Unilateral Facial Palsy with Isolated acute Bulbar Palsy
title_fullStr A Rare Case Report of Guillain–Barré Syndrome Presenting as Unilateral Facial Palsy with Isolated acute Bulbar Palsy
title_full_unstemmed A Rare Case Report of Guillain–Barré Syndrome Presenting as Unilateral Facial Palsy with Isolated acute Bulbar Palsy
title_short A Rare Case Report of Guillain–Barré Syndrome Presenting as Unilateral Facial Palsy with Isolated acute Bulbar Palsy
title_sort rare case report of guillain–barré syndrome presenting as unilateral facial palsy with isolated acute bulbar palsy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7519738/
https://www.ncbi.nlm.nih.gov/pubmed/33042253
http://dx.doi.org/10.4103/jpn.JPN_129_19
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