IVIG- Responsive Multiple Cranial Neuropathy: a pharyngo-facial variant of Guillain-Barre Syndrome

Unal-Cevik I., Onal M. Z., ODABASI Z., TAN E.

ACTA NEUROLOGICA BELGICA, cilt.109, sa.4, ss.317-321, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 109 Sayı: 4
  • Basım Tarihi: 2009
  • Dergi Adı: ACTA NEUROLOGICA BELGICA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.317-321
  • Hacettepe Üniversitesi Adresli: Evet

Özet

We report a case with symptoms of facial swelling, bilateral facial paralysis, dysphagia and aspiration. On electrophysiological studies, the right facial nerve was not excitable. The left facial nerve compound muscle action potential (CMAP) amplitude was severely dispersed and latency was mildly prolonged, consistent with demyelination. Cerebrospinal fluid examinations were normal. Antiganglioside antibodies and tumor markers were negative. Bickerstaff brainstem. encephalitis, stoke, diabetes mellitus, vasculitis, sarcoidosis, Sjogren's syndrome, Melkersson-Rosenthal Syndrome, trauma, infectious diseases, toxicity, neoplasm, facial onset sensory and motor neuronopathy (FOSMN) and other degenerative diseases were excluded. Intravenous immunoglobulin therapy resolved symptoms of lower cranial nerve dysfunction. Clinically incomplete improvement of bilateral facial paralysis was observed. We conclude that IVIg therapy may improve the symptoms of multiple cranial nerve palsies clue to pharyngo-facial variant of Guillain-Barre syndrome.