title: Acute multiple cranial neuropathy: An oculopharyngeal variant of Guillain-Barré Syndrome.
abstract: We report the case of a 20-year-old male who presented to us with acute bilateral multiple cranial neuropathy in the form of bilateral total ophthalmoplegia and bulbar dysfunction. The patient had normal haematological and biochemical investigations, however, cerebrospinal fluid (CSF) analysis showed raised protein (96mg/dl) in the second week of illness. Peripheral nerve conduction studies and an MRI of the brain were normal. The patient showed gradual improvement after three weeks of supportive treatment. Considering the course of illness and the clinical and investigational profile, a diagnosis of an oculopharyngeal variant of Guillain-Barré syndrome (GBS) was made.
authors.affiliation: Department of Medicine, Medical College, Baroda, Gujarat, India 376.
authors.forename: Rupal
authors.initials: R
authors.lastname: Dosi
authors.affiliation: Department of Medicine, Medical College, Baroda, Gujarat, India 376.
authors.forename: Annirudh
authors.initials: A
authors.lastname: Ambaliya
authors.affiliation: Department of Medicine, Medical College, Baroda, Gujarat, India 376.
authors.forename: Niyati
authors.initials: N
authors.lastname: Patel
authors.affiliation: Department of Medicine, Medical College, Baroda, Gujarat, India 376.
authors.forename: Monisha
authors.initials: M
authors.lastname: Shah
authors.affiliation: Department of Medicine, Medical College, Baroda, Gujarat, India 376.
authors.forename: Rushad
authors.initials: R
authors.lastname: Patell
keywords: Guillain-Barré syndrome; Multiple cranial nerve palsy; Oculopharyngeal GBS