P.018 24-year-old woman post-partum with subacute paresthesias and facial diplegia
Bibliographic record
Abstract
Background: Facial diplegia with paresthesias (FDP) is a rare Guillain-Barré Syndrome (GBS) variant, characterized by subacute onset of bilateral facial palsy with no other motor weakness, absent reflexes and distal paresthesias, that may be associated with anti-ganglioside autoantibodies. Methods: Patient chart, including medical notes, radiologic, electrophysiological and laboratory testing during the patient’s hospitalization in December 2024 were reviewed. Results: We report the case of a 24-year-old woman, who presented one-week post-partum with a history of tongue and progressive distal extremity paresthesias, headache and gait instability. During hospitalization patient progressively developed bilateral lower limbs areflexia and facial diplegia. Imaging was negative for a central cause but lumbar puncture and clinical examination guided the diagnosis of FDP. Patient responded to a course of intravenous immunoglobulins (IVIg) and was discharged home without any weakness. Conclusions: This case illustrates the rarer FDP presentation of GBS, which can be more frequent in the postpartum period, and explores the differential diagnosis of subacute facial diplegia.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".