title: Rare encounter of unilateral facial nerve palsy in an adolescent with Guillain-Barré syndrome.
abstract: Unilateral facial nerve palsy is rarely encountered in Guillain-Barré syndrome (GBS). We report a case of an adolescent girl who presented with peripheral ascending weakness, preceded by Campylobacter jejuni infection. After treatment with intravenous immunoglobulin, the peripheral weakness improved. Electro-diagnostic testing confirmed axonal dysfunction and the patient was positive for antiganglioside antibodies. However, the patient developed unilateral left-sided facial weakness. She was managed with further intravenous immunoglobulin and intensive physiotherapy. The outcome for facial palsy was very good, with almost complete resolution after 2 weeks.
authors.affiliation: Leicester Royal Infirmary, Leicester, UK.
authors.forename: Mehtab
authors.initials: M
authors.lastname: Iqbal
authors.affiliation: Leicester Royal Infirmary, Leicester, UK.
authors.forename: Parnika
authors.initials: P
authors.lastname: Sharma
authors.affiliation: Leicester Royal Infirmary, Leicester, UK.
authors.forename: Creana
authors.initials: C
authors.lastname: Charadva
authors.affiliation: Department of Paediatric Neurology, University Hospitals of Leicester, Leicester, UK.
authors.forename: Manish
authors.initials: M
authors.lastname: Prasad
mesh_terms: D000293:Adolescent; D002169:Campylobacter Infections / Q000188:drug therapy*; D016123:Campylobacter jejuni / Q000302:isolation & purification; D005154:Facial Nerve / Q000503:physiopathology*; D005158:Facial Paralysis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D020275:Guillain-Barre Syndrome / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*
chemical_list: D016756:Immunoglobulins, Intravenous
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