title: Unilateral cranial and phrenic nerve involvement in axonal Guillain-Barré syndrome.
abstract: A 49-year-old woman developed acute left facial, hypoglossal, and phrenic nerve palsies, as well as dysphagia and weakness in the neck and arms. Electrophysiologic studies showed an acute motor axonal neuropathy. Serum anti-GM1 IgG antibody was positive. Intravenous immunoglobulin treatment resulted in good clinical recovery. The present report indicates that the cranial and phrenic nerves may be affected unilaterally in Guillain-Barré syndrome, and that there is clinical variability in the axonal subtype of this syndrome.
authors.affiliation: Department of Neurology, Narita Red Cross Hospital, Narita, Japan.
authors.forename: Yumi
authors.initials: Y
authors.lastname: Sakakibara
authors.forename: Masahiro
authors.initials: M
authors.lastname: Mori
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kuwabara
authors.forename: Kaoru
authors.initials: K
authors.lastname: Katayama
authors.forename: Takamichi
authors.initials: T
authors.lastname: Hattori
authors.forename: Michiaki
authors.initials: M
authors.lastname: Koga
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Yuki
mesh_terms: D001369:Axons / Q000502:physiology; D005155:Facial Nerve Diseases / Q000150:complications*; D005260:Female; D020275:Guillain-Barre Syndrome / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D020437:Hypoglossal Nerve Diseases / Q000150:complications*; D008875:Middle Aged; D010243:Paralysis / Q000150:complications*; D010523:Peripheral Nervous System Diseases / Q000150:complications*; D010791:Phrenic Nerve