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Updated: Dec 21, 2025
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
The Ultimate Poker Face: A Case Report of Facial Diplegia, a Guillain-Barré Variant
1Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas.
Introduction:
Facial diplegia, a rare variant of Guillain-Barré syndrome (GBS), is a challenging diagnosis to make in the emergency department due to its resemblance to neurologic Lyme disease.
Case Report:
We present a case of a 27-year-old previously healthy man who presented with bilateral facial paralysis.
Discussion:
Despite the variance in presentation, the recommended standard of practice for diagnostics (cerebrospinal fluid albumin-cytological dissociation) and disposition (admission for observation, intravenous immunoglobulin, and serial negative inspiratory force) of facial diplegia are the same as for other presentations of GBS.
Conclusion:
When presented with bilateral facial palsy emergency providers should consider autoimmune, infectious, idiopathic, metabolic, neoplastic, neurologic, and traumatic etiologies in addition to the much more common neurologic Lyme disease.
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