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Seven patients are described;four with facial diplegia and distal limb paresthesias,one with sixth nerve palsy and distal paresthesias,one with bilateral lumbar polyradiculopathy,and one with combined Fisher's syndrome and pharyngeal-cervical-brachial weakness.These self-limited illnesses, which evolved over days or weeks,involved a cellular cerebrospinal fluid with raised protein concentration and electrophysiologic findings that were consistent with a demyelinating polyneuropathy.The first three regional variants of Guillain-Barre syndrome may cause diagnostic difficulty,particularly at the onset of illness,and the fourth links Fisher's syndrome with the typical syndrome.The consistently bilateral weakness of Guillain-Barre syndrome and its regional variants and the absence of a monoparetic or hemiparetic pattern suggest that the pathologic process occurs in the same single or contiguous groups of nerves on both sides of the sagittal plane but is not randomly distributed in the peripheral nervous system. |
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abducens nerve paralysis
abducens nerve paralysis,bilateral
areflexia
ataxia
cerebrospinal fluid,elevated protein of
cranial neuropathy
cranial neuropathy,multiple
diplegia,brachial
facial weakness
facial weakness,bilateral
Fisher's syndrome
Guillain Barre syndrome
Guillain Barre syndrome,ataxic form
Guillain Barre syndrome,ophthalmoplegia in
Guillain Barre syndrome,variant forms of
hyporeflexia
leg weakness,bilateral
lumbosacral radiculopathy
muscle weakness,proximal
ophthalmoplegia
paresthesias
paresthesias,feet
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