Title: Early recovery of facial nerve palsy after plasmapheresis in a patient of Gullian Barre Syndrome: A Case Report
Authors: Dr Pradeepika Gangwar, Dr Nikhil Kothari, Dr Pradeep Bhatia, Dr Rishabh Jaju
DOI: https://dx.doi.org/10.18535/jmscr/v7i1.133
Abstract
Bilateral facial nerve palsy is the most common manifestation of cranial nerve involvement in Gullian Barre syndrome (GBS).Incidence of unilateral facial palsy although uncommon, can be seen in GBS. Standard treatment of GBS is either intravenous immunoglobulin or plasmapheresis. Here we report the role of plasmapheresis in early recovery of neuromuscular weakness and unilateral facial palsy in a patient of GBS.
Keywords: Gullian Barre Syndrome, facial nerve palsy, plasmapheresis.
References
- Bogliun G, Beghi E. Italian GBS Registry Study Group. Incidence and clinical features of acute inflammatory polyradiculoneuropathy in Lombardy Italy. Acta Neurol Scand 2004;110:100-6.
- Kamihiro N, Higashigawa M, Yamamoto T, Yoshino A, Sakata K. Acute motor-sensory axonal Guillain-Barré syndrome with unilateral facial nerve paralysis after rotavirus gastroenteritis in a 2- year-old boy. Journal of Infection and Chemotherapy 2012; 18:119-23.
- Suryanarayana B, Siddeswari R, Sudarsi B, Manohar S. A rare case report of Guillian Barre Syndrome presenting with unilateal Facial Nerve Palsy. International Journal of Scientific and Research Publications 2015;5(2):1-5.
- Hughes RA, Raphael JC, Swan AV, Van Doorn PA. Intravenous immunoglobulin for Guillain-Barré syndrome. Cochrane Database Syst Rev 2006;1:CD002063.
- Wijdicks E.F.M, Barohn R, Benson E. Practice parameter: Immunotherapy for Guillain–Barré syndrome. Neurology 2003;61:736–40.
- Yuki N, Tagawa Y, Hirata K. Minimal number of plasma exchanges needed to reduce immunoglobulin in Guillain–Barré syndrome. Neurology. 1998;51:875–7.
- Narayanan RP, James N, Ramachandran K, Jaramillo MJ. Guillain-Barré syndrome presenting with bilateral facial nerve paralysis: a case report. Cases Journal 2008; 1: 379.
- Verma R, Chaudhari TS, Giri P. Unilateral facial palsy in Guillain-Barre syndrome (GBS): a rare occurrence. BMJ Case Rep. 2012 Oct; pii: bcr2012007077. doi:10.1136/bcr-2012-007077.
- Sorour Inaloo, Pegah Katibeh. Gullian-Barre syndrome with bilateral facial nerve palsy. Iran journal of child neurology 2014 winter;8(1):70-72.