Bifacial weakness with paresthesias: Serial nerve conduction studies indicate diffuse demyelinating neuropathy

Morgan, Catherine; Fuller, Geraint; Wakerley, Benjamin R

doi:10.1002/mus.25028

Cited by 5 publications

(2 citation statements)

References 20 publications

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“…Rapid progressive bifacial weakness categorized as bifacial weakness with paresthesia (BFP), occasionally presents in GBS subtypes (4). Although isolated CN VII palsy occurs in this subtype, no other CN is involved in its progression.…”

Section: Discussionmentioning

confidence: 99%

An Oculopharyngeal Subtype of Guillain-Barré Syndrome Sparing the Trochlear and Abducens Nerves

et al. 2020

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Guillain-Barré syndrome (GBS) comprises a group of polyneuropathies characterized by rapid progression of limb paralysis. Various subtypes of GBS have been reported. The oculopharyngeal subtype of GBS is currently understood to be primarily a cranial polyneuropathy without limb weakness or cerebellar ataxia. In our case of 62-year-old man, gastrointestinal infection was followed by paranesthesia of the hands. He had bilateral ptosis, pharyngeal disorder, and tongue and bifacial weakness. We diagnosed oculopharyngeal subtype of GBS. It responded to intravenous immunoglobulin. This case highlights the need for further characterization of unusual GBS subtypes.

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Section: Discussionmentioning

confidence: 99%

An Oculopharyngeal Subtype of Guillain-Barré Syndrome Sparing the Trochlear and Abducens Nerves

et al. 2020

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“…While this could reflect the onset of a more generalised neuropathy, which will soon become apparent, there is one variant of Guillain-Barré syndrome that is characterised by bilateral facial weakness and distal paraesthesiae 18. Nerve conduction studies find evidence of a demyelinating neuropathy even though there may be few limb symptoms and signs.…”

Section: Mimicsmentioning

confidence: 99%

Bell's palsy syndrome: mimics and chameleons

Fuller

Morgan

2016

Pract Neurol

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In this article we will explore the mimics and chameleons of Bell's palsy and in addition argue that we should use the term 'Bell's palsy syndrome' to help guide clinical reasoning when thinking about patients with facial weakness. The diagnosis of Bell's palsy can usually be made on clinical grounds without the need for further investigations. This is because the diagnosis is not one of exclusion (despite this being commonly how it is described), a lower motor neurone facial weakness where all alternative causes have been eliminated, but rather a positive recognition of a clinical syndrome, with a number of exclusions, which are described below. This perhaps would be more accurately referred to a 'Bell's palsy syndrome'. Treatment with corticosteroids improves outcome; adding an antiviral probably reduces the rates of long-term complications.

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Kimachi

Yuki²,

Kokubun

et al. 2016

Muscle Nerve

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Bifacial weakness with paresthesias: Serial nerve conduction studies indicate diffuse demyelinating neuropathy

Abstract: This study suggests that neuropathy in patients with bifacial weakness and paresthesias is demyelinating and diffuse.

Cited by 5 publications

References 20 publications

An Oculopharyngeal Subtype of Guillain-Barré Syndrome Sparing the Trochlear and Abducens Nerves

An Oculopharyngeal Subtype of Guillain-Barré Syndrome Sparing the Trochlear and Abducens Nerves

Bell's palsy syndrome: mimics and chameleons

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