Delayed facial weakness in Guillain-Barré and Miller Fisher syndromes.
Muscle Nerve
; 51(6): 811-4, 2015 Jun.
Article
em En
| MEDLINE
| ID: mdl-25287079
ABSTRACT
INTRODUCTION:
Dr. C. Miller Fisher described the appearance of unilateral facial palsy after resolution of ataxia in a patient with the eponymic Miller Fisher syndrome (MFS). However, there have been very few reports of delayed appearance of facial weakness in Guillain-Barré syndrome (GBS) and MFS when the other neurological signs reached nadir or started improving.METHODS:
In this study we reviewed the clinical and laboratory findings of consecutive patients with GBS (n=195) and MFS (n=68).RESULTS:
Delayed facial weakness occurred in 12 (6%) GBS and 4 (6%) MFS patients and was unilateral in 5 (42%) GBS and 2 (50%) MFS patients. In those patients with delayed facial weakness, neither limb weakness nor ataxia progressed, and facial weakness disappeared without immunotherapy.CONCLUSIONS:
Because facial weakness can lead to further morbidity, it would be prudent for clinicians to warn patients of this possibility, although additional immunotherapy is usually not required.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Debilidade Muscular
/
Síndrome de Miller Fisher
/
Síndrome de Guillain-Barré
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Paralisia Facial
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
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Child, preschool
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Muscle Nerve
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Japão