Descending Variant in Guillain–Barre Syndrome Presenting with Bilateral Bell’s Palsy

Abstract Guillain–Barre syndrome (GBS) is an autoimmune disorder of the peripheral nervous system which is characterized by weakness, usually symmetrical, and evolving over a period of several days or more. This case report presents the clinical presentation and physiotherapy management of a 20-year-old male diagnosed with a descending variant of GBS. The patient presented with bilateral Bell’s palsy, dysphagia, restricted jaw range of motion, and neck and upper-limb weakness. Nerve conduction study (NCS) and chest X-ray were done, where NCS revealed axonal motor neuropathy and a facial NCS revealed features of severe motor axonopathy on both sides. The patient received medical management, followed by physiotherapy rehabilitation based on the symptoms seen. Outcome measures were used to assess the recovery of the patient. It was found that early targeted physiotherapy rehabilitation can help improve facial muscle strength, swallowing difficulty, and neck and upper-limb strength.