A Case of Acute Motor Axonal Neuropathy with Prominent Bulbar Palsy

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J Korean Assoc EMG Electrodiagn Med 2006;8(2):153-157.
Published online May 10, 2006.

Abstract

We report a case of acute motor axonal neuropathy (AMAN) with cranial nerves involvements. A 66- year-old man presented with acute ascending paralysis subsequent to upper respiratory infection. He developed respiratory failure needed mechanical ventilation as well as dysarthria, dysphagia, and areflexia. However sensory signs and symptoms were absent. The needle electromyography showed denervation potentials in his limbs and muscles innervated by cranial nerves. The present report indicate that the cranial nerve may be affected in AMAN, one of the clinical subtype of Guillain-Barre syndrome.

Key Words: Acute motor axonal neuropathy, Guillain-Barre Syndrome, Bulbar palsy, Cranial nerve

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