Author/Authors :
İnce, Nilüfer Erdoğmuş S.B. Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi - 1 Nöroloji Kliniği, Turkey , Öztekin, M. Fevzi S.B. Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi - 1 Nöroloji Kliniği, Turkey
Title Of Article :
Case of Guillian-Barre Syndrome Presenting with Acute Bulbar Palsy
Abstract :
Guillain-Barre syndrome (GBS) is characterized by an acute onset of limb weakness and areflexia. There are a few rare variants that have been described and one of them is the pharyngeal-cervical-brachial (PCB) variant. This variant is presenting with oropharynx, neck and proximal upper limb muscles weakness. Another variant Miller-Fisher syndrome (MFS) is presenting with ataxia, areflexia and external ophthalmoplegia. In this patient, the presentation was bulbar involvement and mild ptosis. Neurological examination showed generalized areflexia and there were pharyngeal and palatal muscles weakness. There was no limb weakness, ophthalmoparesis or ataxia. Cerebrospinal fluid examination showed raised protein level. EMG showed demyelinating sensorymotor polyneuropathy. The patient fully recovered after intravenous immunoglobulin (IVIg) treatment. The isolated acute bulbar paralysis cases should be considered as rare variants of GBS, in addition to common neurological statements and this disease should be included in the differential diagnosis.
NaturalLanguageKeyword :
Guillain , Barre Syndrome , pharingeal , cervical , brachial variant , bulbar palsy , IVIg , demyelinating polyneuropathy
JournalTitle :
Gazi Medical Journal
