HISTORY AND CLINICAL FINDINGS: A 43-year old female presented with bilateral facial @entity425 a month after onset of @entity1729 . INVESTIGATIONS: The neurologic examination on admission revealed @entity3541 , no signs of @entity425 , @entity427 and @entity1795 . Extensive laboratory analysis, radiological and neuroimaging assessment were unremarkable but analysis of cerebrospinal fluid revealed albumin-cytological dissociation. Sequentially, nerve conduction studies confirmed @entity17 . A diagnosis of @entity5011 was made according to clinical findings, laboratory results and nerve study results. TREATMENT AND COURSE: IVIg therapy was initiated (2 g/kg per 5 days) after no response to tapered intravenous corticosteroid therapy. Five days after the last IVIg dose the @entity1 started to recover. Both eyes were treated with standard protective measures. CONCLUSION: @entity5011 is an @entity5011 characterized by a course of rapid ascending @entity425 and mild sensory symptoms appearing approximately two-four weeks after an infection. The facial nerve is of all cranial nerves most often affected but it is rarely the prominent sign of @entity5011 . As well, @entity3541 has never been described as a sole manifestation of @entity5011 , as of our notion.

[Bilateral XXXX following pulmonary infection--a possible variant of acute inflammatory polyradiculoneuropathy].

@entity1 :: ('9606', 'Species') :: ['patient'] @entity17 :: ('MESH:D003711', 'Disease') :: ['demyelination of both facial nerves'] @entity425 :: ('MESH:D018908', 'Disease') :: ['muscular weakness', 'muscle weakness'] @entity5011 :: ('MESH:D020275', 'Disease') :: ['GBS', 'Guillain-Barr   syndrome', 'acute autoimmune polyneuropathy'] @entity1729 :: ('MESH:D012141', 'Disease') :: ['upper respiratory tract infection'] @entity3541 :: ('MESH:D005158', 'Disease') :: ['bilateral facial palsy'] @entity427 :: ('MESH:D012021', 'Disease') :: ['hyperreflexia'] @entity1795 :: ('MESH:D052582', 'Disease') :: ['flexor plantar responses']
@entity3541 :: (MESH:D005158,Disease) :: ['facial palsy']
