Sudden deafness and facial diplegia in Guillain-Barré Syndrome: radiological depiction of facial and acoustic nerve lesions
Autor(es): Takazawa Takanori,Ikeda Ken,Murata Kiyoko,Kawase Yuji,Hirayama Takehisa,Ohtsu Motoharu,Harada Hisanobu,Totani Takeshi,Sugiyama Kunio,Kawabe Kiyokazu,Kano Osamu,Iwasaki Yasuo
Resumo: We herein report a 26-year-old man with Guillain-Barré Syndrome (GBS) coexisting facial nerve palsy (FP) and deafness. He developed deafness, facial weakness, and limb weakness and numbness. Neurological examination showed facial diplegia, bilateral hypoacusia, areflexia and sensorimotor deficits in the distal limbs. The nerve conduction study findings supported the diagnosis of the demyelinating polyneuropathy. An audiogram revealed sensorineural hearing loss of 40-50 dB. Auditory brainstem responses disclosed no elicitation of waves I to IV on both sides. Magnetic resonance imaging depicted abnormal enhancement in bilateral facial and acoustic nerves. Physicians should pay more attention to auditory dysfunction in GBS patients with FP.
Palavras-Chave: Guillain-Barré Syndrome; Sensorineural hearing loss; Facial nerve palsy; Gadolinium-enhanced flash imaging; T2-weighted space imaging
Imprenta: Internal Medicine (Tokyo, Japan), v. 51, n. 17, p. 2433-2437, 2012
Identificador do objeto digital: 10.2169/internalmedicine.51.7737
Descritores: Guillain-Barre Syndrome - Cytopathology ; Guillain-Barre Syndrome - Epidemiology ; Guillain-Barre Syndrome - Public health
Data de publicação: 2012
