Severe Headache, Paraesthesias, Facial Diplegia and Pleocytosis: A Misleading Presentation of Guillain-Barré Syndrome

  • Mohamed Reda Belkhribchia Neurology Department, Hassan II Regional Hospital, Dakhla, Morocco
  • Abderrahim Chekabab Medical Laboratory, Fourth Military Hospital, Dakhla, Morocco
  • Yahya Naji Neurology Department, University Hospital Mohamed VI, Marrakesh, Morocco
  • Latifa Hadrane >Private Neurology Practice, Agadir, Morocco
  • Soufiane Hassar Emergency Department, Hassan II Regional Hospital, Dakhla, Morocco
  • Nissrine Louhab Neurology Department, University Hospital Mohamed VI, Marrakesh, Morocco
  • Najib Kissani Neurology Department, University Hospital Mohamed VI, Marrakesh, Morocco

Keywords

Guillain-Barré syndrome, bifacial weakness with paraesthesias, headache, pleocytosis, plasma exchange

Abstract

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.

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  • Published: 2021-01-29

    Issue: Vol 8 No 1 (view)

    Section: Articles

    How to cite:
    1.
    Belkhribchia MR, Chekabab A, Naji Y, Hadrane L, Hassar S, Louhab N, Kissani N. Severe Headache, Paraesthesias, Facial Diplegia and Pleocytosis: A Misleading Presentation of Guillain-Barré Syndrome. EJCRIM 2021;8 doi:10.12890/2021_002211.

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