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Unilateral cranial and phrenic nerve involvement in axonal Guillain–Barré syndrome
Author(s) -
Sakakibara Yumi,
Mori Masahiro,
Kuwabara Satoshi,
Katayama Kaoru,
Hattori Takamichi,
Koga Michiaki,
Yuki Nobuhiro
Publication year - 2002
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.10041
Subject(s) - medicine , acute motor axonal neuropathy , guillain barre syndrome , phrenic nerve , dysphagia , weakness , hypoglossal nerve , cranial nerves , anesthesia , cranial nerve disease , surgery , tongue , anatomy , pathology , respiratory system , pediatrics , eye disease
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. Intavenous 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. © 2002 John Wiley & Sons, Inc. Muscle Nerve 25: 297–299, 2002 DOI 10.1002/mus.10041