A Rare Case Report of Guillain-Barré Syndrome Presenting as Unilateral Facial Palsy with Isolated acute Bulbar Palsy.
Case report
demyelinating motor neuropathy
isolated bulbar palsy
nerve conduction study
Journal
Journal of pediatric neurosciences
ISSN: 1817-1745
Titre abrégé: J Pediatr Neurosci
Pays: India
ID NLM: 101273794
Informations de publication
Date de publication:
Historique:
received:
22
10
2019
revised:
16
01
2020
accepted:
30
01
2020
entrez:
12
10
2020
pubmed:
13
10
2020
medline:
13
10
2020
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 33042253
doi: 10.4103/jpn.JPN_129_19
pii: JPN-15-157
pmc: PMC7519738
doi:
Types de publication
Case Reports
Langues
eng
Pagination
157-159Informations de copyright
Copyright: © 2020 Journal of Pediatric Neurosciences.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
BMJ Case Rep. 2012 Oct 19;2012:
pubmed: 23087283
Med J Malaysia. 2006 Jun;61(2):245-7
pubmed: 16898323
J Neurol Sci. 2002 Dec 15;205(1):83-4
pubmed: 12409189
Neurology. 2016 Feb 23;86(8):742-7
pubmed: 26718574
Pediatr Neurol. 2012 Aug;47(2):91-6
pubmed: 22759683
Muscle Nerve. 2011 Aug;44(2):252-7
pubmed: 21698648
J Neurol Neurosurg Psychiatry. 1996 Dec;61(6):649-51
pubmed: 8971119
Arch Neurol. 2001 Jun;58(6):913-7
pubmed: 11405806
J Pediatr Neurosci. 2016 Oct-Dec;11(4):322-323
pubmed: 28217155