Isolated bilateral ptosis as an early sign of guillain-barré syndrome.
Autor(es): Imam Yahia Z.; Deleu Dirk
Resumo: Background. Guillain-Barré syndrome (GBS) has many variants with distinct presentations. Ptosis as an initial presentation is rare. Case Report. We describe a young female with bilateral ptosis without ophthalmoplegia as the initial presentation of Guillain-Barré ptosis in an anti-GQ1b IgG antibody negative patient with a favorable outcome to intravenous immunoglobulins. Objectives. Our paper highlights the importance of recognizing GBS as a potential etiology in a patient presenting with isolated ptosis, particularly since the course of GBS can be more dramatic than in the anti-GBQ1b syndromes such as ophthalmoparesis without ataxia and Miller Fisher syndrome or ocular myasthenia. Conclusion. This is the first paper of anti-GBQ1b antibody negative GBS presenting with isolated ptosis without ophthalmoparesis. GBS should be included in the list of differential diagnosis of such presentations.
Imprenta: Case Reports in Neurological Medicine, 2013
Identificador do objeto digital: 10.1155/2013/178291
Descritores: Guillain-Barre Syndrome - Pathogenesis
Data de publicação: 2013
