A Rare Variant of Guillain-Barre Syndrome: Facial Diplegia Paresthesia

Akarsu E., Yalcin D., Surmeli R., Demir A., Sunter G., Diler Y.

TURKISH JOURNAL OF NEUROLOGY, vol.21, no.4, pp.171-174, 2015 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 4
  • Publication Date: 2015
  • Doi Number: 10.4274/tnd.70456
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.171-174
  • Bursa Uludag University Affiliated: No


Guillain-Barre syndrome (GBS) is an autoimmune polyneuropathy syndrome with acute onset, characterized by ascending muscle weakness and areflexia. Many rare variants of GBS have been defined. Patients with facial diplegia and paresthesia (FDP) in extremities are classified as a localized GBS variant and called FDP. Muscle weakness is either absent or insignificant in these patients. Atypical presentations with preserved, and at times, brisk reflexes, can be a diagnostic dilemma. Treatment in mild cases is also controversial. We describe a pregnant patient with preserved reflexes who was diagnosed as having FDP, based on the clinical and electrophysiologic features, and highlight the treatment options of this rare variant, particularly during pregnancy.