Guillain-Barré Syndrome with Bilateral Peripheral Facial Nerve Paralysis After COVID-19 Infection

Abstract

Isolated bilateral peripheral facial paralysis in Guillain-Barre syndrome (GBS) is also quite rare. This case meets the diagnostic criteria of GBS with isolated bilateral peripheral facial paralysis following the coronavirus disease-2019 (COVID-19) infection. A 48-year-old male patient with bilateral peripheral facial nerve paralysis on neurological examination and without other abnormalities was admitted to the emergency department, 18 days after a COVID-19 infection. An increase in cell-free protein (albuminocytological dissociation) in the patient's cerebrospinal fluid and demyelinating polyneuropathy in electrophysiological examinations suggested GBS in the patient. Facial paralysis findings were completely resolved after 5 days of intravenous immune globulin therapy. Physicians must closely monitor patients' neurological signs because of the possible association between GBS and COVID-19.