[Guillain-Barré syndrome with dysphagia after frontal sinusitis]

HNO. 2013 Jan;61(1):52-4. doi: 10.1007/s00106-011-2456-z.
[Article in German]

Abstract

One week after an acute sinusitis, a male patient developed a hypernasal voice, dysphagia, diplopic images, ataxia and paresthesias. He had paresis of the glossopharyngeal and abducens nerves, weakness of the arms and legs, and reflex deficiency. The neurography showed a motor axonal demyelinating neuropathy, so that the diagnosis of Guillain-Barré syndrome was made. After five courses of plasmapheresis, the symptoms improved rapidly.

Publication types

  • Case Reports

MeSH terms

  • Abducens Nerve Diseases / diagnosis
  • Abducens Nerve Diseases / therapy
  • Adult
  • Deglutition Disorders / diagnosis*
  • Deglutition Disorders / therapy
  • Diplopia / diagnosis
  • Diplopia / therapy
  • Follow-Up Studies
  • Frontal Sinusitis / diagnosis*
  • Frontal Sinusitis / therapy
  • Glossopharyngeal Nerve Diseases / diagnosis
  • Glossopharyngeal Nerve Diseases / therapy
  • Guillain-Barre Syndrome / diagnosis*
  • Guillain-Barre Syndrome / therapy
  • Humans
  • Image Interpretation, Computer-Assisted
  • Male
  • Neurologic Examination
  • Nuclear Proteins
  • Plasmapheresis
  • RNA-Binding Proteins
  • Repressor Proteins
  • Tomography, X-Ray Computed
  • Vocal Cord Paralysis / diagnosis
  • Vocal Cord Paralysis / therapy
  • Voice Disorders / diagnosis
  • Voice Disorders / therapy

Substances

  • NGDN protein, human
  • Nuclear Proteins
  • RNA-Binding Proteins
  • Repressor Proteins