Ptosis as the initial presentation of Guillain-Barré syndrome.
Autor(es): Teng Hao-Wen; Sung Jia-Ying
Resumo: Guillain-Barré syndrome has been regarded as a spectrum of diseases with many variants. To present a case in which, when the ocular muscles are affected in the beginning, it is very challenging to distinguish Guillain-Barré syndrome from myasthenia gravis. We describe a patient with Guillain-Barré syndrome who presented initially with isolated ptosis without ophthalmoplegia and subsequently developed descending paralysis. Due to the primary involvement of the lid levators, the patient was initially diagnosed as having a myasthenic crisis. Although extremely rare, Guillain-Barré syndrome can present initially as isolated ptosis with subsequent descending paralysis.
Imprenta: The Journal of Emergency Medicine, v. 43, n. 5, p. 283-285, 2012
Identificador do objeto digital: 10.1016/j.jemermed.2010.05.016
Descritores: Guillain-Barre Syndrome - Pathogenesis
Data de publicação: 2012
