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Guillain-Barré syndrome presenting progression from unilateral to bilateral facial palsy
J Korean Skull Base Soc 2019;14(1):44-49
Published online May 31, 2019
© 2019 Korean Skull Base Society.

Jin Lee, Min-Beom Kim

Department of Otolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Correspondence to: Min-Beom Kim
주소 : Department of Otolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29, Saemunan-ro, Jongno-gu, Seoul 03181, Korea
Tel : +82-2-2001-2264
Fax : +82-2-2001-2273
E-mail : minbeom.kim@gmail.com
Received April 25, 2019; Accepted May 23, 2019.
Abstract
Otolaryngologists are often faced with patients who have unilateral facial palsy. However, bilateral facial palsy without any other neurologic and systemic symptom is very uncommon that we should keep in mind the possibility of other diseases which cause it, including bilateral bell’s palsy, Lyme disease, Guillain-Barré syndrome (GBS), Leukemia, Sarcoidosis, Infectious mononucleosis and trauma. We describe a 39-year-old male patient who had unilateral facial palsy at first, and progressed to bilateral facial palsy a few days later. His clinical course and neurophysiologic studies, cerebrospinal fluid study are consistent with GBS. We review this case with relevant publishes in medical literature.
Keywords : Facial palsy, Bilateral facial palsy


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