{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:58:20Z","timestamp":1783511900131,"version":"3.55.0"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p> Guillain\u2013Barr\u00e9 syndrome is characterized by progressive motor weakness, sensory changes, dysautonomia, and areflexia. Cranial nerve palsies are frequent in Guillain\u2013Barr\u00e9 syndrome. Among cranial nerve palsies in Guillain\u2013Barr\u00e9 syndrome, facial nerve palsy is the most common affecting around half of the cases. Facial palsy in Guillain\u2013Barr\u00e9 syndrome is usually bilateral. We describe a pediatric Guillain\u2013Barr\u00e9 syndrome variant presenting with unilateral peripheral facial palsy and dysphagia. A 5-year-old boy had progressive lower extremity weakness and pain 3\u2009days prior to onset of unilateral peripheral facial palsy. On presentation, diagnosis of Guillain\u2013Barr\u00e9 syndrome was supported by areflexia and albuminocytologic dissociation. His condition deteriorated with a decline in his respiratory effort and inability to handle secretions. He was given non-invasive ventilation to prevent worsening of his acute respiratory failure. Brain and spine magnetic resonance imaging scans showed enhancement of the left bulbar nerve complex and anterior and posterior cervical nerve roots with gadolinium. Treatment with intravenous immunoglobulin led to an uneventful clinical course with partial recovery within 2\u2009weeks. In summary, Guillain\u2013Barr\u00e9 syndrome should be considered as a possible cause of unilateral peripheral facial palsy. Guillain\u2013Barr\u00e9 syndrome patients with facial nerve and bulbar palsy require close monitoring as they are at risk of developing acute respiratory failure. Early intervention with intravenous immunoglobulin may benefit these patients. Magnetic resonance imaging findings may lend support to early intervention. <\/jats:p>","DOI":"10.1177\/2050313x19838750","type":"journal-article","created":{"date-parts":[[2019,3,21]],"date-time":"2019-03-21T10:39:47Z","timestamp":1553164787000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":51,"title":["Guillain\u2013Barr\u00e9 syndrome with unilateral peripheral facial and bulbar palsy in a child: A case report"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9860-2047","authenticated-orcid":false,"given":"Kamal","family":"Sharma","sequence":"first","affiliation":[{"name":"Division of Pediatric Critical Care, Department of Pediatrics, College of Medicine, University of South Alabama, Mobile, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supatida","family":"Tengsupakul","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Disease and Pediatric Hospitalist Service, College of Medicine, University of South Alabama, Mobile, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care, Department of Pediatrics, College of Medicine, University of South Alabama, Mobile, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rozaleen","family":"Phaltas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, College of Medicine, University of South Alabama, Mobile, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Maertens","sequence":"additional","affiliation":[{"name":"Department of Neurology, College of Medicine, University of South Alabama, Mobile, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,3,21]]},"reference":[{"key":"bibr1-2050313X19838750","first-page":"24","volume":"150","author":"Guillain G","year":"1999","journal-title":"Ann Med Interne (Paris)"},{"key":"bibr2-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1016\/j.optm.2006.06.014"},{"key":"bibr3-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2009.01650.x"},{"key":"bibr4-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1002\/mus.24475"},{"issue":"4","key":"bibr5-2050313X19838750","first-page":"17","volume":"6","author":"Karimzadeh P","year":"2012","journal-title":"Iran J Child Neurol"},{"key":"bibr6-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1007\/s10156-011-0300-8"},{"key":"bibr7-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2015-213394."},{"key":"bibr8-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.4103\/1817-1745.199480"},{"key":"bibr9-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1136\/adc.41.217.292"},{"key":"bibr10-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.4038\/sljch.v45i1.8087"},{"key":"bibr11-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1988.tb03632.x"},{"key":"bibr12-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/77.3.1297"},{"key":"bibr13-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/aww247"},{"key":"bibr14-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.3988\/jcn.2017.13.3.227"},{"key":"bibr15-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-016-8204-2"},{"key":"bibr16-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2358"},{"key":"bibr17-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-010-1197-8"},{"key":"bibr18-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2010.05.011"},{"issue":"1","key":"bibr19-2050313X19838750","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.nrl.2012.05.003","volume":"29","author":"Gutierrez-Gutierrez G","year":"2014","journal-title":"Neurologia"},{"key":"bibr20-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1016\/j.braindev.2018.05.009"},{"key":"bibr21-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2003.00074.x"},{"key":"bibr22-2050313X19838750","first-page":"923","volume":"16","author":"Fulbright RK","year":"1995","journal-title":"AJNR Am J Neuroradiol"},{"key":"bibr23-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1002\/mus.10041"},{"key":"bibr24-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.4103\/0972-2327.83087"},{"key":"bibr25-2050313X19838750","first-page":"Cd001446","volume":"2","author":"Hughes RAC","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr26-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-011-6169-8"},{"key":"bibr27-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.54.2972"},{"key":"bibr28-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-4598(199906)22:6<778::AID-MUS17>3.0.CO;2-5"},{"key":"bibr29-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.904925"},{"key":"bibr30-2050313X19838750","first-page":"S43","volume":"5","author":"Bhargava A","year":"2014","journal-title":"J Neurosci Rural Pract"},{"key":"bibr31-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2016.07.011"},{"key":"bibr32-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1542\/pir.18-1-10"},{"key":"bibr33-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2012.05.011"},{"key":"bibr34-2050313X19838750","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e328365ad3f"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X19838750","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X19838750","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X19838750","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T02:36:51Z","timestamp":1740969411000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X19838750"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":34,"alternative-id":["10.1177\/2050313X19838750"],"URL":"https:\/\/doi.org\/10.1177\/2050313x19838750","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]},"article-number":"2050313X19838750"}}