Bifacial weakness with paresthesias: Serial nerve conduction studies indicate diffuse demyelinating neuropathy

Muscle and Nerve

Volumn 53, Issue 5, 2016, Pages 818-822

  Morgan, Catherine ^a   Fuller, Geraint ^a   Wakerley, Benjamin R ^a,b  

^a GLOUCESTERSHIRE ROYAL HOSPITAL   (United Kingdom)

^b UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

Bifacial weakness; Facial diplegia; Guillain Barr syndrome; Miller Fisher syndrome; Paresthesias

Indexed keywords

ADULT; ANTIBODY TITER; ARTICLE; BIFACIAL WEAKNESS; CASE REPORT; DEMYELINATING NEUROPATHY; DEMYELINATION; DISEASE ASSOCIATION; DISTAL PARESTHESIA; FACIAL NERVE PARALYSIS; FLU LIKE SYNDROME; FOLLOW UP; HUMAN; MALE; MUSCLE ACTION POTENTIAL; NERVE CONDUCTION; NERVE POTENTIAL; NEUROMUSCULAR DISEASE; PRIORITY JOURNAL; SKIN TINGLING; YOUNG ADULT; ADOLESCENT; DEMYELINATING DISEASES; FACIAL PARALYSIS; INFLUENZA; PARESTHESIA;

ADOLESCENT; DEMYELINATING DISEASES; FACIAL PARALYSIS; HUMANS; INFLUENZA, HUMAN; MALE; NEURAL CONDUCTION; PARESTHESIA;

EID: 84960984114     PISSN: 0148639X     EISSN: 10974598     Source Type: Journal    
DOI: 10.1002/mus.25028     Document Type: Article

References (20)

1. Yuki N, Hartung HP. Guillain-Barré syndrome. N Engl J Med 2012;366:2294-2304.
2. Charous, DI, Saxe BI. The Landry-Guillain-Barré syndrome: report of an unusual case, with a comment on Bell's palsy. N Engl J Med 1962;267:1334-1338.
3. Ropper AH. Further regional variants of acute immune polyneuropathy. Bifacial weakness or sixth nerve paresis with paresthesias, lumbar polyradiculopathy, and ataxia with pharyngeal-cervical-brachial weakness. Arch Neurol 1994;51:671-675.
4. Wakerley BR, Yuki N. Isolated facial diplegia in Guillain-Barré syndrome: bifacial weakness with paresthesias. Muscle Nerve 2015;52:927-932.
5. Wakerley BR, Uncini A, Yuki N, GBS Classification Group. Guillain-Barré and Miller Fisher syndromes: new diagnostic classification. Nat Rev Neurol 2014;10:537-544.
6. Uncini A, Kuwabara S. Electrodiagnostic criteria for Guillain-Barré syndrome: a critical revision and the need for an update. Clin Neurophysiol 2012;123:1487-1495.
7. Uncini A. 99 years of Guillain-Barré syndrome: pathophysiological insights from neurophysiology. Pract Neurol 2015;15:88-89.
8. Susuki K, Koga M, Hirata K, Isogai E, Yuki N. A Guillain-Barré syndrome variant with prominent facial diplegia. J Neurol 2009;256:1899-1905.
9. Fisher M. An unusual variant of acute idiopathic polyneuritis (syndrome of ophthalmoplegia, ataxia and areflexia). N Engl J Med 1956;255:57-65.
10. Wakerley BR, Yuki N. Polyneuritis cranialis: oculopharyngeal subtype of Guillain-Barré syndrome. J Neurol 2015;11:664.
11. Keane JR. Bilateral seventh nerve palsy: analysis of 43 cases and review of the literature. Neurology 1994;44:1198-1202.
12. Rajabally YA, Durand MC, Mitchell J, Orlikowski D, Nicolas G. Electrophysiological diagnosis of Guillain-Barré syndrome subtype: could a single study suffice? J Neurol Neurosurg Psychiatry 2015;86:115-119.
13. Uncini A, Zappasodi F, Notturno F. Electrodiagnosis of GBS subtypes by a single study: not yet the squaring of the circle. J Neurol Neurosurg Psychiatry 2015;86:5-8.
14. Hadden RD, Cornblath DR, Hughes RA, Zielasek J, Hartung HP, Toyka KV, et al. Electrophysiological classification of Guillain-Barré syndrome: clinical associations and outcome. Plasma Exchange/Sandoglobulin Guillain-Barré Syndrome Trial Group. Ann Neurol 1998;44:780-788.
15. Ropper AH, Wijdicks EFM, Truax BT. Guillain-Barré syndrome. Philadelphia: F.A. Davis; 1991.
16. Umapathi T, Tan EY, Kokubun N, Verma K, Yuki N. Non-demyelinating, reversible conduction failure in Fisher syndrome and related disorders. J Neurol Neurosurg Psychiatry 2012;83:941-948.
17. Chan YC, Ahmad A, Paliwal P, Yuki N. Non-demyelinating, reversible conduction failure in a case of pharyngeal-cervical-brachial weakness overlapped by Fisher syndrome. J Neurol Sci 2012;321:103-106.
18. Wakerley BR, Yuki N. Pharyngeal-cervical-brachial variant of Guillain-Barré syndrome. J Neurol Neurosurg Psychiatry 2014;85:339-344.
19. Chiba A, Kusunoki S, Obata H, Machinami R, Kanazawa I. Serum anti-GQ1b IgG antibody is associated with ophthalmoplegia in Miller Fisher syndrome and Guillain-Barré syndrome: clinical and immunohistochemical studies. Neurology 1993;43:1911-1917.
20. Orlikowski D, Porcher R, Sivadon-Tardy V, Quincampoix JC, Raphaël JC, Durand MC, et al. Guillain-Barré syndrome following primary cytomegalovirus infection: a prospective cohort study. Clin Infect Dis 2011;52:837-844.