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Báo cáo y học: "Facial diplegia with hyperreflexia-a mild Guillain-Barre Syndrome variant, to treat or not to treat"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Facial diplegia with hyperreflexia-a mild Guillain-Barre Syndrome variant, to treat or not to treat? | Journal of Brachial Plexus and Peripheral Nerve Injury BioMed Central Open Access Case report Facial diplegia with hyperreflexia-a mild Guillain-Barre Syndrome variant to treat or not to treat Nitin K Sethi 1 Josh Torgovnick1 Edward Arsura2 Alissa Johnston3 and Elizabeth Buescher3 Address Department of Neurology Saint Vincent s Hospital and Medical Centers New York USA 2Department of Medicine Saint Vincent s Hospital and Medical Centers New York USA and 3New York Medical College New York USA Email Nitin K Sethi - sethinitinmd@hotmail.com Josh Torgovnick - drjosh49@msn.com Edward Arsura - asura@msn.com Alissa Johnston - a_johnston@nymc.edu Elizabeth Buescher - e_buescher@nymc.edu Corresponding author Published 10 April 2007 Received 19 November 2006 Journal of Brachial Plexus and Peripheral Nerve Injury 2007 2 9 doi 10.1186 1749-7221 -2- Accepted 10 April 2007 9 This article is available from http www.JBPPNI.cOm content 2 1 9 2007 Sethi et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract__ Guillain Barre Syndrome GBS is readily diagnosed when the presentation is that of ascending weakness and areflexia. Atypical presentations with preserved and at times brisk reflexes can be a diagnostic dilemma. We describe a patient with GBS who presented with facial diplegia and hyperreflexia on examination and discuss management options. Background Guillain-Barre syndrome GBS is usually easily identified with its typical presentation of ascending weakness and areflexia on examination. It may however present atypically with preserved and at times brisk reflexes leading to diagnostic dilemma. A patient with isolated facial diplegia