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

Takanori Takazawa; Ken Ikeda; Kiyoko Murata; Yuji Kawase; Takehisa Hirayama; Motoharu Ohtsu; Hisanobu Harada; Takeshi Totani; Kunio Sugiyama; Kiyokazu Kawabe; Osamu Kano; Yasuo Iwasaki

doi:10.2169/internalmedicine.51.7737

CASE REPORTS

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

Takanori Takazawa, Ken Ikeda, Kiyoko Murata, Yuji Kawase, Takehisa Hirayama, Motoharu Ohtsu, Hisanobu Harada, Takeshi Totani, Kunio Sugiyama, Kiyokazu Kawabe, Osamu Kano, Yasuo Iwasaki

Author information

Takanori Takazawa
Department of Neurology, Toho University Omori Medical Center, Japan
Ken Ikeda
Department of Neurology, Toho University Omori Medical Center, Japan
Kiyoko Murata
Department of Neurology, Toho University Omori Medical Center, Japan
Yuji Kawase
Department of Neurology, Toho University Omori Medical Center, Japan
Takehisa Hirayama
Department of Neurology, Toho University Omori Medical Center, Japan
Motoharu Ohtsu
Department of Radiology, Toho University Omori Medical Center, Japan
Hisanobu Harada
Department of Radiology, Toho University Omori Medical Center, Japan
Takeshi Totani
Department of Neurology, Toho University Omori Medical Center, Japan
Kunio Sugiyama
Department of Neurology, Toho University Omori Medical Center, Japan
Kiyokazu Kawabe
Department of Neurology, Toho University Omori Medical Center, Japan
Osamu Kano
Department of Neurology, Toho University Omori Medical Center, Japan
Yasuo Iwasaki
Department of Neurology, Toho University Omori Medical Center, Japan

Keywords: Guillain-Barré Syndrome, sensorineural hearing loss, facial nerve palsy, gadolinium-enhanced FLASH imaging, T2-weighted SPACE imaging

JOURNAL OPEN ACCESS

2012 Volume 51 Issue 17 Pages 2433-2437

DOI https://doi.org/10.2169/internalmedicine.51.7737

Details

Abstract

We herein report a 26-year-old man with Guillain-Barré 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.

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