Severe Headache, Paraesthesias, Facial Diplegia and Pleocytosis: A Misleading Presentation of Guillain-Barré Syndrome

Reda Belkhribchia, Mohamed and Chekabab, Abderrahim and Naji, Yahya and Hadrane, Latifa and Hassar, Soufiane and Louhab, Nissrine and Kissani, Najib (2021) Severe Headache, Paraesthesias, Facial Diplegia and Pleocytosis: A Misleading Presentation of Guillain-Barré Syndrome. European Journal of Case Reports in Internal Medicine, 8 (1). pp. 1-4. ISSN ISSN: 2284-2594

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Abstract

Guillain-Barré syndrome (GBS) is an acute inflammatory polyradiculoneuropathy. Progressive limb weakness, diminished/absent reflexes, sensory disturbance, and variable autonomic dysfunction are its core clinical manifestations. Bifacial weakness with paraesthesias (BFP) is a rare regional variant of GBS and is characterized by simultaneous facial diplegia, distal paraesthesias and minimal or no motor weakness. The association of headache with classic GBS has been rarely reported in the literature, and has not yet been described in the BFP variant. Here we report a misleading case of BFP variant associated with severe headache and mild pleocytosis. The repetition of nerve conduction studies (NCS) was extremely beneficial in this confusing case.

Item Type: Article
Uncontrolled Keywords: Guillain-Barré syndrome, bifacial weakness with paraesthesias, headache, pleocytosis, plasma exchange
Subjects: 600 Tecnologia - Scienze applicate
600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Marina Spanti
Date Deposited: 20 Dec 2021 15:01
Last Modified: 20 Dec 2021 15:01
URI: http://eprints.bice.rm.cnr.it/id/eprint/21158

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