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NEUROLOGY 2004;62:825-827
© 2004 American Academy of Neurology
Brief Communications

Acute facial diplegia and hyperreflexia

A Guillain-Barré syndrome variant

K. Susuki, MD, PhD, M. Atsumi, MD, M. Koga, MD, PhD, K. Hirata, MD, PhD and N. Yuki, MD, PhD

From the Departments of Neurology, Dokkyo University School of Medicine (Drs. Susuki, Koga, Hirata, and Yuki), Tochigi, and Baba Memorial Hospital (Dr. Atsumi), Osaka, Japan.

Address correspondence and reprint requests to Dr. K. Susuki, Department of Neurology, Dokkyo University School of Medicine, Kitakobayashi 880, Mibu, Shimotsuga, Tochigi, 321-0293, Japan; e-mail: ksusuki{at}dokkyomed.ac.jp

Two patients with acute facial diplegia and hyperreflexia are described. Both patients had serologic evidence of preceding Campylobacter jejuni infection and antiganglioside IgG antibodies as well as other laboratory and electrophysiologic findings suggesting Guillain-Barré syndrome (GBS). IV immunoglobulin produced recovery. Hyperreflexia does not necessarily exclude the diagnosis of a GBS variant. Antiganglioside antibodies can help with diagnosis in difficult cases.

Received August 25, 2003. Accepted in final form November 6, 2003.

K. Susuki is a research resident of the Japan Health Science Foundation.




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Practical Neurology, December 1, 2006; 6(6): 397 - 397.
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