Bilateral facial paresis with Sj�gren's syndrome

Uchihara, Toshiki; Shoji, Yasuhiro; Tsukagoshi, Hiroshi

doi:10.1007/bf00314342

Cited by 17 publications

(7 citation statements)

References 4 publications

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“…Only very few cases of facial, abducent, and lower cranial nerve palsies have been described previously in primary SS. [57] SNHL is reported in nearly 27% of patients of SS, although clinically significant defects are not common. [8]…”

Section: Discussionmentioning

confidence: 99%

Primary Sjögren′s syndrome manifesting as multiple cranial neuropathies: MRI findings

Ashraf

Bhasi

Kumar

et al. 2009

Ann Indian Acad Neurol

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We report a case of primary Sjögren's syndrome presenting with multiple cranial nerve palsies and radiological evidence of cranial pachymeningitis and hypophysitis. A 47-year-old woman developed right sensory neural hearing loss followed, 2 months later, by right facial palsy. Cranial magnetic resonance imaging showed features of pachymeningitis and pituitary gland infiltration. The diagnosis of primary Sjögren's syndrome was confirmed by demonstrating positive SS-A and SS-B antibodies and histological evidence of lymphocytic infiltration of the sublabial salivary gland. During the 2-year follow-up, the patient had transient VIth, IXth, Xth, and XIIth cranial nerve palsies. Sjögren's syndrome should be considered in the differential diagnosis of patients presenting with multiple recurrent cranial nerve palsies, even if prominent sicca symptoms are absent.

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Section: Discussionmentioning

confidence: 99%

Primary Sjögren′s syndrome manifesting as multiple cranial neuropathies: MRI findings

Ashraf

Bhasi

Kumar

et al. 2009

Ann Indian Acad Neurol

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“…Serial nerve conduction studies in 1 such patient indicated that the responsible pathological lesion started at the cerebellopontine angle and spread distally along the facial canal and was characterized by a demyelinating‐type neuropathy . Bilateral facial weakness has also been reported in association with acute parotid swelling associated with Sjögren syndrome …”

Section: Differential Diagnosismentioning

confidence: 98%

Isolated facial diplegia in Guillain–Barré syndrome: Bifacial weakness with paresthesias

Wakerley

Yuki

2015

Muscle and Nerve

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Bifacial weakness with paresthesias (BFP) is a subtype of Guillain-Barré syndrome defined by rapidly progressive bilateral facial weakness in the absence of other cranial neuropathies, ataxia, or limb weakness. Many patients also complain of distal limb paresthesias and display diminished or absent deep tendon reflexes. BFP is a localized form of Guillain-Barré syndrome and is thought to be caused exclusively by demyelinating- rather than axonal-type neuropathy. Patients with BFP do not display anti-ganglioside IgG antibodies. Since it is rare, many physicians are unfamiliar with BFP, as bilateral facial weakness is more commonly associated with sarcoidosis, Lyme disease, or meningeal pathology. Many patients diagnosed with bilateral Bell palsy may instead have BFP. In this review, we highlight the clinical features of BFP and outline diagnostic criteria.

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“…In contrast to SLE, cases of multiple cranial nerve palsies have been reported in patients with SS [14, 21–23]. SS with facial nerve palsy often involves other cranial nerve involvement [14, 21].…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Oculomotor and Facial Nerve Palsies in a Patient with Systemic Lupus Erythematosus and Sjögren’s Syndrome

Shima

Murosaki

Yamamoto

et al. 2019

Case Reports in Rheumatology

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A 70-year-old man with systemic lupus erythematosus (SLE) presented with simultaneous right oculomotor nerve palsy and right facial nerve palsy. Brain magnetic resonance imaging and cerebrospinal fluid analysis revealed no abnormality. Coexistent Sjögren’s syndrome was diagnosed on the basis of anti-SS-A antibody positivity, salivary gland scintigraphy, and histological findings on minor salivary gland biopsy. As there was no obvious cause of multiple cranial neuropathies, we supposed that the palsies were induced by either of the underlying diseases. The patient was treated with a high-dose of prednisolone and intravenous cyclophosphamide, and both palsies recovered almost completely within two weeks.

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Bilateral facial paresis with Sj�gren's syndrome

Cited by 17 publications

References 4 publications

Primary Sjögren′s syndrome manifesting as multiple cranial neuropathies: MRI findings

Primary Sjögren′s syndrome manifesting as multiple cranial neuropathies: MRI findings

Isolated facial diplegia in Guillain–Barré syndrome: Bifacial weakness with paresthesias

Simultaneous Oculomotor and Facial Nerve Palsies in a Patient with Systemic Lupus Erythematosus and Sjögren’s Syndrome

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