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Seven patients are described;four with facial diplegia and distal limb paresthesias,one with sixth nerve palsy and distal paresthesias,one with bilateral lumbar polyradiculopathy,and one with combined Fisher's syndrome and pharyngeal-cervical-brachial weakness.These self-limited illnesses, which evolved over days or weeks,involved a cellular cerebrospinal fluid with raised protein concentration and electrophysiologic findings that were consistent with a demyelinating polyneuropathy.The first three regional variants of Guillain-Barre syndrome may cause diagnostic difficulty,particularly at the onset of illness,and the fourth links Fisher's syndrome with the typical syndrome.The consistently bilateral weakness of Guillain-Barre syndrome and its regional variants and the absence of a monoparetic or hemiparetic pattern suggest that the pathologic process occurs in the same single or contiguous groups of nerves on both sides of the sagittal plane but is not randomly distributed in the peripheral nervous system. |
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abducens nerve paralysis abducens nerve paralysis,bilateral areflexia ataxia cerebrospinal fluid,elevated protein of cranial neuropathy cranial neuropathy,multiple diplegia,brachial facial weakness facial weakness,bilateral Fisher's syndrome Guillain Barre syndrome Guillain Barre syndrome,ataxic form Guillain Barre syndrome,ophthalmoplegia in Guillain Barre syndrome,variant forms of hyporeflexia leg weakness,bilateral lumbosacral radiculopathy muscle weakness,proximal ophthalmoplegia paresthesias paresthesias,feet
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