Isolated unilateral lower motor neuron facial palsy as the presenting feature of Guillain Barre Syndrome in a child

Sinhabahu, V. P.; Wijesekara, S

doi:10.4038/sljch.v45i1.8087

Cited by 3 publications

(8 citation statements)

References 6 publications

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“…There has been one case report of an 11-year-old girl presenting with unilateral facial palsy preceding motor weakness by three days, which is similar to our case [5]. Our patient developed bilateral incomplete facial palsy with bulbar palsy while unilateral facial palsy was improving, which showed a different clinical course from the previous pediatric cases [2][3][4][5]. He had no autonomic dysregulations such as labile hypertension, implicating his facial palsy not being related to hypertension.…”

supporting

confidence: 67%

“…Presentation of facial palsy alone as the first symptom of GBS is rare [2][3][4]. There has been one case report of an 11-year-old girl presenting with unilateral facial palsy preceding motor weakness by three days, which is similar to our case [5]. Our patient developed bilateral incomplete facial palsy with bulbar palsy while unilateral facial palsy was improving, which showed a different clinical course from the previous pediatric cases [2][3][4][5].…”

supporting

confidence: 62%

“…There are a limited number of pediatric GBS cases with unilateral facial palsy described in the literature [4]. To date, there has been one pediatric case report with unilateral facial palsy as an isolated and presenting feature of GBS [5]. Here we report the case of an infant with GBS, whose first presentation was unilateral peripheral facial palsy following gastroenteritis.…”

mentioning

confidence: 89%

“…As mentioned before, unilateral facial palsy in GBS is rare, especially in children. Only a few pediatric case reports have been published [3][4][5]. Facial palsy in GBS usually follows limb weakness or at least presents simultaneously with other clinical features of GBS such as limb weakness, dysesthesia, and multiple cranial palsies.…”

mentioning

confidence: 99%

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Guillain-Barré Syndrome Presenting with Unilateral Peripheral Facial Palsy in an Infant

Noh

Lee

2020

Ann Child Neurol

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supporting

confidence: 67%

supporting

confidence: 62%

mentioning

confidence: 89%

mentioning

confidence: 99%

See 2 more Smart Citations

Guillain-Barré Syndrome Presenting with Unilateral Peripheral Facial Palsy in an Infant

Noh

Lee

2020

Ann Child Neurol

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“…3 The fourth case was an 11-year-old girl with left facial palsy 3 days prior to onset of full-blown GBS. 10 The fifth case is a 15-year-old girl who presented with classic GBS and developed leftsided facial palsy 2 weeks after the onset of the symptoms. 7 There are several theories about the cause of unilateral facial palsy in GBS.…”

Section: Discussionmentioning

confidence: 99%

Guillain–Barré syndrome with unilateral peripheral facial and bulbar palsy in a child: A case report

Sharma

Tengsupakul

Sanchez

et al. 2019

SAGE Open Medical Case Reports

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Guillain–Barré syndrome is characterized by progressive motor weakness, sensory changes, dysautonomia, and areflexia. Cranial nerve palsies are frequent in Guillain–Barré syndrome. Among cranial nerve palsies in Guillain–Barré syndrome, facial nerve palsy is the most common affecting around half of the cases. Facial palsy in Guillain–Barré syndrome is usually bilateral. We describe a pediatric Guillain–Barré syndrome variant presenting with unilateral peripheral facial palsy and dysphagia. A 5-year-old boy had progressive lower extremity weakness and pain 3 days prior to onset of unilateral peripheral facial palsy. On presentation, diagnosis of Guillain–Barré syndrome was supported by areflexia and albuminocytologic dissociation. His condition deteriorated with a decline in his respiratory effort and inability to handle secretions. He was given non-invasive ventilation to prevent worsening of his acute respiratory failure. Brain and spine magnetic resonance imaging scans showed enhancement of the left bulbar nerve complex and anterior and posterior cervical nerve roots with gadolinium. Treatment with intravenous immunoglobulin led to an uneventful clinical course with partial recovery within 2 weeks. In summary, Guillain–Barré syndrome should be considered as a possible cause of unilateral peripheral facial palsy. Guillain–Barré syndrome patients with facial nerve and bulbar palsy require close monitoring as they are at risk of developing acute respiratory failure. Early intervention with intravenous immunoglobulin may benefit these patients. Magnetic resonance imaging findings may lend support to early intervention.

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Unilateral Facial Palsy in an Adolescent with Guillain–Barré Syndrome

Turco

Piccolo

Pisani

2020

Journal of Pediatric Neurology

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Guillain–Barré syndrome (GBS) is the most common and most severe acute demyelinating polyneuropathy with ∼0.8 to 1.1/100,000 incidence in pediatric population. Unlike adult patients, incidence of facial nerve involvement in children with GBS has not yet been determined possibly because of rare use of magnetic resonance imaging in childhood-onset GBS. In the present study, we describe a girl with GBS who presented unilateral peripheral facial palsy, confirmed by neuroimaging and electrophysiological evaluation. We suggest that both neuroimaging and detailed electrophysiological evaluation should be integrated into the work-up of such patients. We also wish to highlight the importance of evaluating cranial nerve involvement as a potential indicator of severity of disease.

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Isolated unilateral lower motor neuron facial palsy as the presenting feature of Guillain Barre Syndrome in a child

Cited by 3 publications

References 6 publications

Guillain-Barré Syndrome Presenting with Unilateral Peripheral Facial Palsy in an Infant

Guillain-Barré Syndrome Presenting with Unilateral Peripheral Facial Palsy in an Infant

Guillain–Barré syndrome with unilateral peripheral facial and bulbar palsy in a child: A case report

Unilateral Facial Palsy in an Adolescent with Guillain–Barré Syndrome

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