Bilateral Facial Paralysis as an Atypical Manifestation of Guillain-Barre Syndrome in a Child

Acute immune-mediated polyneuropathies include Guillain-Barre syndrome (GBS), which is one of the most common emergencies associated with neuromuscular disorders.GBS can present in both typical and atypical ways.One unusual presentation is bilateral facial paralysis, which is rare and often has an identifiable underlying cause.Common causes of bilateral facial nerve involvement include Mobius syndrome, Lyme disease, GBS, leukaemia, sarcoidosis, infectious mononucleosis, and trauma.Most of these cases are linked to serious medical conditions that may require urgent medical attention.The authors report a case of a girl who presented with an uncommon combination of bilateral lower limb weakness and bilateral facial nerve palsy, contributing to the limited literature on atypical presentations of GBS.She was treated with intravenous immunoglobulin (IVIG) and physiotherapy, resulting in marked clinical improvement.