Sudden Deafness and Facial Diplegia in Guillain-Barre Syndrome: Radiological Depiction of Facial and Acoustic Nerve Lesions

被引：12

作者：

Takazawa, Takanori ^{[1
]}

Ikeda, Ken ^{[1
]}

Murata, Kiyoko ^{[1
]}

Kawase, Yuji ^{[1
]}

Hirayama, Takehisa ^{[1
]}

Ohtsu, Motoharu ^{[2
]}

Harada, Hisanobu ^{[2
]}

Totani, Takeshi ^{[1
]}

Sugiyama, Kunio ^{[1
]}

Kawabe, Kiyokazu ^{[1
]}

Kano, Osamu ^{[1
]}

Iwasaki, Yasuo ^{[1
]}

机构：

[1] Toho Univ, Dept Neurol, Omori Med Ctr, Tokyo, Japan

[2] Toho Univ, Dept Radiol, Omori Med Ctr, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2012年 / 51卷 / 17期

关键词：

Guillain-Barre Syndrome; sensorineural hearing loss; facial nerve palsy; gadolinium-enhanced; FLASH imaging; T2-weighted SPACE imaging; EVOKED-POTENTIALS; HEARING-LOSS; ENHANCEMENT; DISEASE; MRI;

D O I：

10.2169/internalmedicine.51.7737

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We herein report a 26-year-old man with Guillain-Barre Syndrome (GBS) coexisting facial nerve palsy ( FP) and deafness. He developed deafness, facial weakness, and limb weakness and numbness. Neurological examination showed facial diplegia, bilateral hypoacusia, areflexia and sensorimotor deficits in the distal limbs. The nerve conduction study findings supported the diagnosis of the demyelinating polyneuropathy. An audiogram revealed sensorineural hearing loss of 40-50 dB. Auditory brainstem responses disclosed no elicitation of waves I to IV on both sides. Magnetic resonance imaging depicted abnormal enhancement in bilateral facial and acoustic nerves. Physicians should pay more attention to auditory dysfunction in GBS patients with FP.

引用

页码：2433 / 2437

页数：5

共 21 条

[1] ASSESSMENT OF CURRENT DIAGNOSTIC-CRITERIA FOR GUILLAIN-BARRE-SYNDROME [J].

ASBURY, AK ;

CORNBLATH, DR .

ANNALS OF NEUROLOGY, 1990, 27 :S21-S24

[2]

Casselman JW, 1996, NEURORADIOLOGY, V38, P278

[3]

Herinckx C., 1995, Acta Oto-Rhino-Laryngologica Belgica, V49, P63

[4] Facial diplegia with paraesthesias: facial nerve enhancement in three dimensional MRI [J].

Hozumi, A ;

Yuki, N ;

Yamazaki, K ;

Hirata, K .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1999, 66 (05) :688-688

[5] Detection of antibody to sialyl-i, a possible antigen in patients with Meniere's disease [J].

Ikeda, A ;

Komatsuzaki, A ;

Kasama, T ;

Handa, S ;

Taki, T .

BIOCHIMICA ET BIOPHYSICA ACTA-MOLECULAR BASIS OF DISEASE, 2000, 1501 (2-3) :81-90

[6]

Nagai T, 1991, Rinsho Shinkeigaku, V31, P422

[7] Contrast-enhanced MR imaging of the endolymphatic sac in patients with sudden hearing loss [J].

Naganawa, S ;

Koshikawa, T ;

Fukatsu, H ;

Ishigaki, T ;

Nakashima, T ;

Ichinose, N .

EUROPEAN RADIOLOGY, 2002, 12 (05) :1121-1126

[8] ACOUSTIC NERVE-CONDUCTION ABNORMALITIES IN GUILLAIN-BARRE-SYNDROME [J].

NELSON, KR ;

GILMORE, RL ;

MASSEY, A .

NEUROLOGY, 1988, 38 (08) :1263-1266

[9] SUBACUTE POLYRADICULOPATHY WITH OPTIC AND AUDITORY-NERVE INVOLVEMENT [J].

PALL, HS ;

WILLIAMS, AC .

ARCHIVES OF NEUROLOGY, 1987, 44 (08) :885-887

[10] Lumbosacral root and facial nerve enhancement in Miller Fisher syndrome [J].

Pedotti, R ;

Carpo, M ;

Lucchi, S ;

Righini, A ;

Scarlato, G ;

Nobile-Orazio, E .

JOURNAL OF NEUROLOGY, 1998, 245 (11) :753-754

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