title: Sudden deafness and facial diplegia in Guillain-Barré Syndrome: radiological depiction of facial and acoustic nerve lesions.
abstract: We herein report a 26-year-old man with Guillain-Barré Syndrome (GBS) coexisting facial nerve palsy (FP) and deafness. He developed deafness, facial weakness, and limb weakness and numbness. Neurological examination showed facial diplegia, bilateral hypoacusia, areflexia and sensorimotor deficits in the distal limbs. The nerve conduction study findings supported the diagnosis of the demyelinating polyneuropathy. An audiogram revealed sensorineural hearing loss of 40-50 dB. Auditory brainstem responses disclosed no elicitation of waves I to IV on both sides. Magnetic resonance imaging depicted abnormal enhancement in bilateral facial and acoustic nerves. Physicians should pay more attention to auditory dysfunction in GBS patients with FP.
authors.affiliation: Department of Neurology, Toho University Omori Medical Center, Japan.
authors.forename: Takanori
authors.initials: T
authors.lastname: Takazawa
authors.forename: Ken
authors.initials: K
authors.lastname: Ikeda
authors.forename: Kiyoko
authors.initials: K
authors.lastname: Murata
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kawase
authors.forename: Takehisa
authors.initials: T
authors.lastname: Hirayama
authors.forename: Motoharu
authors.initials: M
authors.lastname: Ohtsu
authors.forename: Hisanobu
authors.initials: H
authors.lastname: Harada
authors.forename: Takeshi
authors.initials: T
authors.lastname: Totani
authors.forename: Kunio
authors.initials: K
authors.lastname: Sugiyama
authors.forename: Kiyokazu
authors.initials: K
authors.lastname: Kawabe
authors.forename: Osamu
authors.initials: O
authors.lastname: Kano
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Iwasaki
mesh_terms: D000328:Adult; D003056:Cochlear Nerve / Q000000981:diagnostic imaging* / Q000473:pathology / Q000503:physiopathology; D015897:Comorbidity; D005154:Facial Nerve / Q000000981:diagnostic imaging* / Q000473:pathology / Q000503:physiopathology; D005158:Facial Paralysis / Q000175:diagnosis / Q000453:epidemiology*; D020275:Guillain-Barre Syndrome / Q000175:diagnosis / Q000453:epidemiology*; D003639:Hearing Loss, Sudden / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009431:Neural Conduction / Q000502:physiology; D011856:Radiographic Image Enhancement