Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

01 January 2005

Unilateral XIIth cranial nerve palsy as the only presenting symptom of Guillain-Barre syndrome – a case report

Chakraborty Partha Pratim, Bandyopadhyay Dipanjan, Mandal Sanjay Kumar, Roy Chowdhury Subhasis, Banerjee Ramtanu

Case Rep Clin Pract Rev 2005; 6:251-254 :: ID: 429270

Abstract

Summary
Background: Acute inflammatory demyelinating polyradiculoneuropathy (AIDP), also called Guillain-Barre syndrome (GBS) is a commonly encountered neurological problem manifested by motor weakness, areflexia, parasthesias with slight sensory loss, and increased protein in CSF with paucity of cells (albumino cytological dissociation). It usually starts with lower limb weakness, which ascends
proximally over hours to several days. Less often, weakness may begin in proximal or cranial nerve innervated muscles.
Case Report: A 38-year-old male presented to our Out-Patient Department with acute onset deviation of the tongue to the right, preceded by progressively ascending paraesthesia for 3 days. The findings on neurological examination were unremarkable except for right-sided hypoglossal nerve palsy. Laboratory investigations and imaging modalities were non-contributory. On the 7th postadmission day, he developed acute onset respiratory distress with Forced Vital Capacity of 750ml, which subsided spontaneously after about 30mins. On the next day, the patient developed acute onset flaccid paraplegia without any sensory abnormalities. Cerebrospinal fluid analysis and electrophysiological study were consistent with the diagnosis of AIDP.
Conclusions: Isolated XIIth cranial nerve palsy is a relatively rare presentation in GBS. Not all cases of GBS will present with the classic features of flaccid ascending paralysis, as traditionally advocated.

Keywords: Acute inflammatory demyelinating polyradiculoneuropathy, Guillain-Barre Syndrome, Areflexia, Albumino cytological dissociation, Hypoglossal Nerve, Forced Vital Capacity, Flaccid, Cerebrospinal Fluid

0 Comments

SARS-CoV-2/COVID-19

19 May 2022 : Case report  Serbia

Bilateral Emphysematous Pyelonephritis Associated with COVID Pneumonia: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.936370  

17 May 2022 : Case report  USA

High-Frequency Oscillatory Ventilation for Refractory Hypoxemia in Severe COVID-19 Pneumonia: A Small Case ...

Am J Case Rep In Press; DOI: 10.12659/AJCR.936651  

13 May 2022 : Case report  Japan

A case of exacerbation of haloperidol-induced rhabdomyolysis following the onset of COVID-19

Am J Case Rep In Press; DOI: 10.12659/AJCR.936589  

13 May 2022 : Case report  USA

Acute Disseminated Encephalomyelitis After SARS-CoV-2 Vaccination

Am J Case Rep In Press; DOI: 10.12659/AJCR.936574  

In Press

20 May 2022 : Case report  Canada

Diagnostic Puzzle of Acute Ischemic Stroke Mimics – Seizure Versus Post-Stroke Recrudescence: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.936826  

19 May 2022 : Case report  Saudi Arabia

Extremes of Anemia: The Lowest Hemoglobin Values Probably Ever Reported in the Pediatric Literature Attribu...

Am J Case Rep In Press; DOI: 10.12659/AJCR.936252  

19 May 2022 : Case report  Brazil

Acute Hepatitis with Positive Autoantibodies: A Case of Natalizumab-Induced Early-Onset Liver Injury

Am J Case Rep In Press; DOI: 10.12659/AJCR.936318  

19 May 2022 : Case report  Japan

Successful Percutaneous Fogarty Thrombectomy for Subacute Lower Limb Ischemia Due to Resistant Thrombus in ...

Am J Case Rep In Press; DOI: 10.12659/AJCR.936377  

Most Viewed Current Articles

31 Dec 1969 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

31 Dec 1969 : Case report  Oman

Myocarditis, Pulmonary Hemorrhage, and Extensive Myositis with Rhabdomyolysis 12 Days After First Dose of P...

DOI :10.12659/AJCR.934399

Am J Case Rep 2022; 23:e934399

31 Dec 1969 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

31 Dec 1969 : Case report  USA

A Rare Case of Coronavirus Disease 2019 Vaccine-Associated Cerebral Venous Sinus Thrombosis Treated with Me...

DOI :10.12659/AJCR.935355

Am J Case Rep 2022; 23:e935355

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923