Multiple cranial neuropathy variant of guillain–barré syndrome: A case series

Wang, Qingsong; Xiang, Yang; Yu, Ke; Li, Congyang; Wang, Jun; Xiao, Li

doi:10.1002/mus.22043

Cited by 12 publications

(25 citation statements)

References 23 publications

(30 reference statements)

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“…Furthermore, cases of cranial neuropathy involving only the glossopharyngeal nerve and vagus nerve, in addition to bilateral facial palsies, have been reported as a pharyngo-facial variant (12) or multiple cranial neuropathy variant (13). Several cases of cranial neuropathy associated with glossopharyngeal nerve and vagus nerve palsies alone have also been reported (14). These studies reported the rapid improvement of symptoms in such cases following treatment with IVIg.…”

Section: Discussionmentioning

confidence: 99%

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Glossopharyngeal Nerve and Vagus Nerve Palsies Associated with Influenza Vaccination

2014

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We herein report the first case of glossopharyngeal nerve and vagus nerve palsies that appeared after an influenza vaccination. A 15-year-old boy developed dysphagia and dysarthria seven days after receiving an inoculation of the inactivated influenza vaccine. Massive intravenous immunoglobulin (IVIg) treatment was applied, as the patient's symptoms were considered to be immunological adverse effects of the influenza vaccine. He responded well to IVIg, and the symptoms immediately diminished. The mechanisms underlying the development of neurologic symptoms following vaccination are difficult to determine; however, providing immediate immunological treatment, such as IVIg, is effective and beneficial in countering these symptoms.

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Section: Discussionmentioning

confidence: 99%

“…However, the patient's rapid recovery from dysphagia and dysarthria following IVIg treatment strongly suggests the presence of primarily demyelinating lesions. Cases of the cranial neuropathy variant type GBS with normal nerve conduction velocity (NCV) results in the limbs have also been reported (14).…”

Section: Discussionmentioning

confidence: 99%

Glossopharyngeal Nerve and Vagus Nerve Palsies Associated with Influenza Vaccination

2014

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“…Several variants of Guillain-Barré syndrome with involvement of cranial nerves have been described. However, multiple involvement of cranial nerves without motor de cit in limbs is extremely rare, affecting only 5% of all the cases reported in the literature [4][5] . Recently, Gutierrez-Ortiz and coworkers reported two cases of Miller Fisher syndrome and polyneuritis cranialis in COVID 19, yet they did not perform MRI and neurophysiology 2 .…”

Section: Casementioning

confidence: 99%

New clinical manifestations of COVID-19 related Guillain Barre syndrome higly responsive to intravenous immunoglobulins: two italian cases

Assini

Benedetti

Silvia

et al. 2020

Preprint

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“…Numerous variants of Guillain-Barre syndrome (GBS) have been documented during the past decade [ 1 , 2 ]. These variants have similar symptoms and developmental, recovery, and treatment patterns.…”

Section: Introductionmentioning

confidence: 99%

“…These variants have similar symptoms and developmental, recovery, and treatment patterns. Cranial nerve (CN) palsies are common symptoms of GBS, but multiple cranial neuropathies as variant of GBS are rare and account for only 5% of patients [ 2 ]. Affected patients exhibit bilateral facial nerve palsy followed by bulbar dysfunctions (CN IX and X) with limb weakness and walking difficulties [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

Multiple Cranial Neuropathies Without Limb Involvements: Guillain-Barre Syndrome Variant?

Jung

Kim

et al. 2013

Ann Rehabil Med

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Acute multiple cranial neuropathies are considered as variant of Guillain-Barre syndrome, which are immune-mediated diseases triggered by various cases. It is a rare disease which is related to infectious, inflammatory or systemic diseases. According to previous case reports, those affected can exhibit almost bilateral facial nerve palsy, then followed by bulbar dysfunctions (cranial nerves IX and X) accompanied by limb weakness and walking difficulties due to motor and/or sensory dysfunctions. Furthermore, reported cases of the acute multiple cranial neuropathies show electrophysiological abnormalities compatible with the typical Guillain-Barre syndromes (GBS). We recently experienced a patient with a benign infectious disease who subsequently developed symptoms of variant GBS. Here, we describe the case of a 48-year-old male patient who developed multiple symptoms of cranial neuropathy without limb weakness. His laboratory findings showed a positive result for anti-GQ1b IgG antibody. As compared with previously described variants of GBS, the patient exhibited widespread cranial neuropathy, which included neuropathies of cranial nerves III-XII, without limb involvement or ataxia.

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Multiple cranial neuropathy variant of guillain–barré syndrome: A case series

Abstract: Bilateral CN IX, X, and/or VII impairment with areflexia or hyporeflexia, early abnormal F-wave response, nerve conduction abnormalities, and CSF albuminocytologic dissociation support a diagnosis of this GBS cranial variant.

Cited by 12 publications

References 23 publications

Glossopharyngeal Nerve and Vagus Nerve Palsies Associated with Influenza Vaccination

Glossopharyngeal Nerve and Vagus Nerve Palsies Associated with Influenza Vaccination

New clinical manifestations of COVID-19 related Guillain Barre syndrome higly responsive to intravenous immunoglobulins: two italian cases

Multiple Cranial Neuropathies Without Limb Involvements: Guillain-Barre Syndrome Variant?

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