A rare case of complete bilateral ophthalmoplegia and ptosis.
Autor(es): Hall Daniel John; Bazaraa Talal
Resumo: We describe the case of an 85-year-old gentleman admitted with bilateral ptosis and complete bilateral ocular paralysis. Initial differential diagnoses included myasthenia gravis, diabetic cranial neuropathy, an ischaemic event and possible occult neoplasm. Investigations did not support any of the differentials and Miller Fisher syndrome (MFS) was considered. Anti-GQ1b IgG antibody was positive, supporting the possibility of anti-ganglioside syndrome. This gentleman was treated with intravenous immunoglobulin (IVIG) and made a full recovery.
Palavras-Chave: Anti-GQ1b antibody, Miller Fisher syndrome, bilateral ptosis, older people, ophthalmoparesis
Imprenta: Age and Ageing, v. 43, n. 1, p. 145-147, 2014
Identificador do objeto digital: 10.1093/ageing/aft134
Descritores: Guillain-Barre Syndrome - Pathogenesis ; Guillain-Barre Syndrome - Proteins ; Guillain-Barre Syndrome - Antibodies ; Guillain-Barre Syndrome - Immunology ; Guillain-Barre Syndrome - Public health
Data de publicação: 2014
