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Isolated bilateral ptosis as an early sign of guillain-barré syndrome.

Autor(es)Imam Yahia Z.; Deleu Dirk
ResumoBackground. 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.
ImprentaCase Reports in Neurological Medicine, 2013
Identificador do Objeto Digital10.1155/2013/178291
DescritoresGuillain-Barre Syndrome - Pathogenesis
Data de Publicação:2013