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{
    "pk": 815,
    "title": "The Ultimate Poker Face: A Case Report of Facial Diplegia, a Guillain-Barré Variant",
    "subtitle": null,
    "abstract": "Introduction: Facial diplegia, a rare variant of Guillain-Barré syndrome (GBS), is a challenging diagnosis to make in the emergency department due to its resemblance to neurologic Lyme disease.\nCase report: We present a case of a 27-year-old previously healthy man who presented with bilateral facial paralysis.\nDiscussion: Despite the variance in presentation, the recommended standard of practice for diagnostics (cerebrospinal fluid albumin-cytological dissociation) and disposition (admission for observation, intravenous immunoglobulin, and serial negative inspiratory force) of facial diplegia are the same as for other presentations of GBS.\nConclusion: When presented with bilateral facial palsy emergency providers should consider autoimmune, infectious, idiopathic, metabolic, neoplastic, neurologic, and traumatic etiologies in addition to the much more common neurologic Lyme disease.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1bt8r09p",
    "frozenauthors": [
        {
            "first_name": "Joshua",
            "middle_name": "",
            "last_name": "Lowe",
            "name_suffix": "",
            "institution": "Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas",
            "department": "None"
        },
        {
            "first_name": "James",
            "middle_name": "",
            "last_name": "Pfaff",
            "name_suffix": "",
            "institution": "Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas",
            "department": "None"
        }
    ],
    "date_submitted": "2020-04-23T05:48:30Z",
    "date_accepted": "2020-04-23T05:48:30Z",
    "date_published": "2020-04-23T20:25:04Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/815/galley/568/download/"
        }
    ]
}