Mohd Shah, Azarisman Shah and Che Abdullah, Shahrin Tarmizi and Omar, Ahmad Marzuki and Nik Ahmad, Nik Nur Fatnoon and Rathor, Mohammad Yousuf
(2009)
Bilateral facial nerve palsy secondary to an atypical presentation of Gullain-Barré syndrome.
International Medical Journal Malaysia, 8 (1).
pp. 41-44.
ISSN 1823-4631
Abstract
Bilateral simultaneous facial nerve palsy is an extremely rare clinical entity and may occur in association with a variety of neurological, infectious, neoplastic or degenerative disorders. We describe a patient, who presented with facial diplegia and normal reflexes on examination. During the entire hospitalization, he developed no motor weakness and remained ambulatory. Whether treatment is warranted for this and other milder variants of Gullain-Barré syndrome is also discussed. Atypical presentations with preserved or brisk reflexes, can be a diagnostic dilemma.
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