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This case report aims to highlight how facial diplegia can initially mimic stroke symptoms, leading to misdiagnosis.

Facial Diplegia Guillain-Barre Syndrome Variant Initially Presenting as a Stroke Mimic: Evolution from Unilateral Central-Appearing Facial Weakness to Bilateral Facial Palsy - A Case Report

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This case report aims to highlight how facial diplegia can initially mimic stroke symptoms, leading to misdiagnosis.
Clinical evaluation of a 48-year-old man presenting with facial weakness and slurred speech.
Cerebrospinal fluid analysis showing albuminocytologic dissociation.
Electrodiagnostic tests revealing facial motor terminal latency abnormalities.
Initial right central facial palsy evolved into bilateral lower motor neuron facial palsy.
MRI and CT scans showed no evidence of cerebrovascular accident.
Patient improved after receiving intravenous immunoglobulin treatment.

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Case report reveals evolution from unilateral facial weakness to bilateral palsy in a patient, suggesting critical evaluation is needed.

Alqatati et al. (2026) studied this question.

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