A Case of Regional Variant of Guillain-Barre Syndrome

J Korean Neurol Assoc > Volume 23(3); 2005 > Article

Journal of the Korean Neurological Association 2005;23(3): 415-417.

국소변형 길랑-바레증후군 1예

이상수, 이성현

충북대학교 의과대학 신경과학교실

A Case of Regional Variant of Guillain-Barre Syndrome

Sang-Soo Lee

Department of Neurology, Chungbuk National University College of Medicine, Cheongju, Korea

Abstract

Neurologists are occasionally confronted with patients who have unique symptoms of bilateral but regional weaknesses that do not conform to the typical case with Guillain-Barre syndrome (GBS). Acute facial diplegia is a very uncommon neurologic manifestation that can be the presenting symptom in a wide range of diseases. We describe a 32-year-old male patient with acute facial diplegia and distal limb paresthesias without diminished reflexes. His neurophysiologic studies, CSF albuminocytologic dissociation and the clinical course are in keeping with a regional variant of GBS. The absence of hyporeflexia does not necessarily exclude the diagnosis of a GBS variant. KeyWords:Guillain-Barre syndrome, Facial diplegia