Abstract

LUPIANEZ SEOANE, Patricia; SANTAMARIA MARIN, Agustín  and  MONROY GOMEZ, Carmen. Facial bilateral paralysis. Atypical presentation of Guillain-Barré Syndrome. Rev Clin Med Fam [online]. 2018, vol.11, n.2, pp.105-106. ISSN 2386-8201.

The Guillain-Barré Syndrome (GBS) is an acute demyelinating disease whose typical manifestation is symmetrical and ascending muscle weakness and absence of osteotendinous reflexes. However, there are other forms of presentation, such as bilateral facial palsy (BFP) that must be taken into account when making the diagnosis, since the early administration of immunoglobulins favors clinical recovery, avoiding the occurrence of complications.

The BFP is a rare entity whose most frequent causes are traumatic brain injury, infectious diseases, neurological diseases and alterations of indeterminate origin, such as GBS.

We present the case of a patient who came to the emergency department for a BFP without any other associated focal neurologic signs, who, after undergoing blood tests, cranial computed tomography (CAT) and lumbar puncture (LBP) was diagnosed with GBS and received treatment with intravenous immunoglobulins.

Keywords : Guillain-Barré; Facial Paralysis; Immnunoglobulin Therapy.

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