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Acute multiple cranial neuropathy: An oculopharyngeal variant of Guillain-Barré Syndrome
Rupal Dosi1, Annirudh Ambaliya1, Niyati Patel1
1Department of Medicine, Medical College, Baroda, Gujarat, India 376.
Abstract:
We report the case of a 20-year-old male who presented to us with acute bilateral multiple cranial neuropathy in the form of bilateral total ophthalmoplegia and bulbar dysfunction. The patient had normal haematological and biochemical investigations, however, cerebrospinal fluid (CSF) analysis showed raised protein (96mg/dl) in the second week of illness. Peripheral nerve conduction studies and an MRI of the brain were normal. The patient showed gradual improvement after three weeks of supportive treatment. Considering the course of illness and the clinical and investigational profile, a diagnosis of an oculopharyngeal variant of Guillain-Barré syndrome (GBS) was made.
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