Title: Guillain Barre Syndrome- A Rare New Variant with Mixed Pathology And Unilateral Facial Nerve Palsy
Authors: Dr Nutan Kumar.D.M, Dr Tirthankar Mukherjee, Dr Ramachandra Prabhu H.D, Dr Nagesh G.N
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.12
Abstract
Guillain-Barre syndrome (GBS) is an autoimmune disorder manifested as acute, rapidly progressive ascending paralysis with usually bilateral cranial nerve involvement. Facial nerve is most commonly involved usually bilateral but rarely unilateral. Here we are reporting such a rare case of unilateral facial nerve palsy in GBS. The electrophysiological tests including blink study are important in such cases. Our patient had mixed pathological features of demyelinating polyneuropathy in motor nerves of upper / lower limbs and motor axonopathy in both facial nerve (left > right) which is a rare combination seen in GBS patients. This can be a new variant seen in GBS patients which is first of its kind.
Keywords: Guillain-Barre Syndrome, Axonopathy, Demyelinating polyneuropathy, Unilateral Facial Nerve Palsy, Blink Reflexes.
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