Acute motor-sensory axonal Guillain–Barré syndrome with unilateral facial nerve paralysis after rotavirus gastroenteritis in a 2-year-old boy

Kamihiro, Noriki; Higashigawa, Masamune; Yamamoto, Tohei; Yoshino, Akira; Sakata, Keiko; Nashida, Yuji; Maji, Tomoaki; Fujiwara, Takashi; Inoue, Masakazu

doi:10.1007/s10156-011-0300-8

Cited by 14 publications

(11 citation statements)

References 23 publications

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“…and Verma, et al .). [ 12 13 ] Only four patients complained about altered taste sensation, suggesting proximal involvement of facial nerve. At 1 month of follow up, 15 patients had partial recovery and rest had complete recovery.…”

Section: Discussionmentioning

confidence: 99%

A study of Guillain–Barré syndrome with reference to cranial neuropathy and its prognostic implication

Bhargava¹,

Banakar²,

Pujar³

et al. 2014

Journal of Neurosciences in Rural Practice

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Background:Focused studies on cranial neuropathy in Guillain–Barré syndrome (GBS) and its prognostic implication are not done previously.Aim:To study the clinical profile of GBS patients with special reference to cranial neuropathy and its prognostic implication.Materials and Methods:The study included 61 patients with GB syndrome, fulfilling Asbury Cornblath's criteria for GB syndrome. A pre-designed semi-structured questionnaire was used to obtain data regarding demographic profile and clinical profile. All patients underwent detailed neurological examination, investigations including nerve conduction studies and CSF examination and treated according to the severity of the illness. Patients were followed up for 6 months. During analysis two groups were made depending on cranial nerve involvement, and compared with respect to various parameters.Results:Out of 61 patients 38 (62.3%) patients had cranial nerve palsies, in that 25 had multiple cranial nerve palsies, and 13 had single isolated nerve palsy. A majority of 30 (49.2%) had bulbar palsy, 28 (46%) had facial nerve palsy, and all had bilateral involvement except 3 patients who had unilateral palsy. Hypoglossal nerve involvement was seen in six (10%) patients and four (6.5%) patients had ophthalmoplegia. Only one had bilateral vestibulocochlear nerve palsy. On comparing various clinico-electrophysiological parameters among patients of GB syndrome with and without cranial nerve involvement, the presence of respiratory paralysis, IVIg and ventilatory support requirement had significant association with cranial nerve involvement in GBS.Conclusion:Our study found a correlation between cranial nerve palsies and severity of the illness. Cranial nerve innervated muscles recover earlier as compared to distal limb muscles. No association was found between outcome at 6 months and cranial nerve involvement.

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Section: Discussionmentioning

confidence: 99%

A study of Guillain–Barré syndrome with reference to cranial neuropathy and its prognostic implication

Bhargava¹,

Banakar²,

Pujar³

et al. 2014

Journal of Neurosciences in Rural Practice

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“…Sakakibara et al 7 reported a 49-year-old woman with axonal GBS who developed unilateral facial, hypoglossal and phrenic palsies. Kamihiro et al 8 recently reported a 2-year-old boy with acute motor-sensory axonal type of GBS who had unilateral facial palsy.…”

Section: Discussionmentioning

confidence: 99%

Unilateral facial palsy in Guillain-Barre syndrome (GBS): a rare occurrence

2012

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Guillain-Barre syndrome (GBS) is a postinfectious, autoimmune disorder which, apart from limb weakness, is characterised by cranial nerve involvement. Bilateral facial nerve palsy is the most common pattern of cranial nerve involvement in GBS. However, unilateral facial palsy, although uncommon, can be seen in GBS. We report a rare case of unilateral facial palsy in GBS and importance of electrophysiological tests including blink study in such cases has been emphasised.

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“…Guillain–Barre syndrome (GBS) is one of the most common causes of acute flaccid paralysis in infants and children. 1 Classic symptoms and presentation of GBS are ascending motor weakness peaking within 4 weeks, minimal objective sensory loss, and decreased or absent muscle stretch reflexes. GBS is considered to be an acute immune-mediated polyneuropathy with several variations: a classic demyelinating form, acute inflammatory demyelization polyneuropathy (AIDP), acute motor–sensory axonal neuropathy (AMSAN), acute motor axonal neuropathy (AMAN), and Miller–Fisher syndrome.…”

Section: Introductionmentioning

confidence: 99%

Acute Motor Axonal Neuropathy in a Child With Atypical Presentation

Lee

Han

2015

Medicine

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Acute motor axonal neuropathy (AMAN) is a variant of Guillain–Barre syndrome. It has been reported to have no sensory symptoms and is diagnosed by typical electrophysiological findings of low-amplitude or unobtainable compound muscle action potentials with normal sensory nerve action potentials. However, the authors experienced atypical case of general electrophysiological findings of AMAN with pain and paresthesia and presented it. This case implies that clinician should be on the alert to atypical sensory symptoms from the classical presentation of AMAN even if the patient is diagnosed with AMAN electrophysiologically and should consider proper treatment options based on clinical presentations.

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Acute motor-sensory axonal Guillain–Barré syndrome with unilateral facial nerve paralysis after rotavirus gastroenteritis in a 2-year-old boy

Cited by 14 publications

References 23 publications

A study of Guillain–Barré syndrome with reference to cranial neuropathy and its prognostic implication

A study of Guillain–Barré syndrome with reference to cranial neuropathy and its prognostic implication

Unilateral facial palsy in Guillain-Barre syndrome (GBS): a rare occurrence

Acute Motor Axonal Neuropathy in a Child With Atypical Presentation

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