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November 1982

Facial Diplegia Following Ethylene Glycol Ingestion

Author Affiliations

Bergen Neurological Associates, PA 280 Prospect Ave Hackensack, NJ 07601

Arch Neurol. 1982;39(11):739-740. doi:10.1001/archneur.1982.00510230065028

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To the Editor.—  Berger and Ayyar (Archives 1981;38:724-726) presented the first report of facial diplegia following ethylene glycol intoxication. I would like to describe a similar occurrence to confirm the causal relationship between antifreeze ingestion and facial diplegia and mention the following features of the case: (1) bilateral fifth motor cranial nerve and unilateral 12th cranial nerve dysfunction, (2) longer delay (ten to 14 days) in appearance of facial diplegia, (3) clonic spasms of the buttocks, (4) longer observation (seven months), and (5) normal level of CSF myelin basic protein.

Report of a Case.—  A 22-year-old paranoid schizophrenic, taking oxazepam at a dosage of 30 mg three times a day, was admitted to the hospital on Feb 21, 1981, after a day of vomiting and agitation. His history included psychiatric hospitalizations, treatment with major tranquilizers for several years, and, in June 1980, choreiform movements of the left arm thought to

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