IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-12-23461 Original Research Paper Guillain-Barre syndrome with unilateral facial nerve palsy : A case report Chitralekha Vora Dr. Dr. Sagar Chaudhari Dr. Dr. Ashok Sodala Dr. December 2019 8 12 01 02 ABSTRACT

Gullian barre syndrome is characterized with rapidly evolving areflexic motor paralysis with or without sensory disturbance . Guillain–Barré syndrome (GBS) is an acute, frequently severe and fulminant polyradiculoneuropathy that is autoimmune in nature. The usual pattern is an ascending palsy that may be first noticed as rubbery legs. Weakness typically evolves over hours to a few days and is frequently accompanied by tingling sensation in the extremities .The legs are usually more affected than the arms, and bilateral facial palsy is present in 50% of affected individuals. We describe a Guillain–Barré syndrome variant presenting with unilateral peripheral facial palsy.A 40–year–old female had progressive lower extremity weakness and numbness 2 days prior to onset of unilateral peripheral facial palsy. On presentation, diagnosis of Guillain–Barré syndrome was supported by areflexia and albuminocytologic dissociation.Normal MR study of Brain and whole spine magnetic resonance imaging scans showed posterolateral disc bulge.Treatment with intravenous immunoglobulin and intravenous steroids led to an uneventful clinical course with partial recovery within 1 weeks. In summary, Guillain–Barré syndrome should be considered as a possible cause of unilateral peripheral facial palsy. Early intervention with intravenous immunoglobulin may benefit these patients.