Open AccessSevere Headache, Paraesthesias, Facial Diplegia and Pleocytosis: A Misleading Presentation of Guillain-Barré Syndrome
Author(s) -
Mohamed Reda Belkhribchia,
Abderrahim Chekabab,
Yahya Naji,
Latifa Hadrane,
Soufiane Hassar,
Nissrine Louhab,
Najib Kissani
Publication year - 2021
Publication title -
european journal of case reports in internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 1
ISSN - 2284-2594
DOI - 10.12890/2021_002211
Subject(s) - medicine , weakness , guillain barre syndrome , polyradiculoneuropathy , pleocytosis , facial weakness , diplegia , csf pleocytosis , pediatrics , physical medicine and rehabilitation , surgery , meningitis , cerebral palsy
Guillain-Barré syndrome (GBS) is an acute inflammatory polyradiculoneuropathy. Progressive limb weakness, diminished/absent reflexes, sensory disturbance, and variable autonomic dysfunction are its core clinical manifestations. Bifacial weakness with paraesthesias (BFP) is a rare regional variant of GBS and is characterized by simultaneous facial diplegia, distal paraesthesias and minimal or no motor weakness. The association of headache with classic GBS has been rarely reported in the literature, and has not yet been described in the BFP variant. Here we report a misleading case of BFP variant associated with severe headache and mild pleocytosis. The repetition of nerve conduction studies (NCS) was extremely beneficial in this confusing case.