Guillain-Barré Syndrome Associated with Acute Onset Bilateral Facial Nerve Palsies

Abstract

Guillain-Barré syndrome is a post infectious, immune-mediated disease with cranial nerve involvement observed in 45–75% of patients. Bilateral facial nerve palsy is rather uncommon and occurs in 0.3% to 2% of all facial palsies. We describe a rare case of a 29-year-old man with bilateral facial palsy caused by a Guillain-Barré syndrome with an unusual onset and progression of neurological symptoms. Neuroradiological findings in our patient are described and compared with data from literature on bilateral facial palsies to make differential diagnosis easier for neuroradiologists.