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- Title
Unilateral hypoglossal nerve palsy with asymmetric facial and limb paresis in axonal Guillain-Barré syndrome.
- Authors
Yamagami, Mari; Sakurai, Yasuhisa; Hamada, Kensuke; Sugimoto, Izumi; Hatanaka, Yuki; Uchibori, Ayumi; Chiba, Atsuro
- Abstract
We report a 45-year-old man with motor axonal Guillain-Barré syndrome who developed left facial nerve palsy, right hypoglossal nerve palsy, and predominantly left-sided upper limb paresis and left lower limb paresis. Blood examination identified immunoglobulin G antibodies against gangliosides GD1a, GD1b and GQ1b, and GD1b/ GD1a and GD1b/ GT1b complexes. He was treated with intravenous immunoglobulin (400 mg/kg/day for 5 days) twice, and tongue deviation and facial palsy resolved in 3 months. Unilateral or asymmetric involvement of the cranial and limb nerves represent a variant form of axonal Guillain-Barré syndrome.
- Subjects
HYPOGLOSSAL nerve; PARALYSIS; IMMUNOGLOBULIN G; AXONS; DISEASES
- Publication
Neurology & Clinical Neuroscience, 2016, Vol 4, Issue 1, p25
- ISSN
2049-4173
- Publication type
Article
- DOI
10.1111/ncn3.12023