Bilateral Facial Nerve Palsy after Mycoplasma Pneumoniae Infection: A Variant of Guillain-Barre Syndrome?

ABSTRACT

A 9-year-old girl presented with bilateral facial weakness since 10 days after upper respiratory infection. Blink reflex studies and nerve conduction studies suggested bilateral lesions of proximal facial nerves. Her serum was strongly positive for IgM antibodies to Mycoplasma pneumoniae and mildly for IgM to galactocerebroside and albuminocytologic dissociation was found in her cerebrospinal fluid. This case is of the bilateral facial neuropathy by Mycoplasma pneumoniae infection suggesting a variant of Guillain-Barre syndrome.