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Vol. 10 No. 1 (2016)

January 2016

Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome

  • Ahmad TALEBIAN
  • Babak SOLTANI
  • Motahhareh TALEBIAN

Iranian Journal of Child Neurology, Vol. 10 No. 1 (2016), 1 January 2016 , Page 65-69
https://doi.org/10.22037/ijcn.v10i1.6544 Published: 2016-01-01

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Abstract

How to Cite This Article: Talebian A, Soltani B, Talebian M. Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome. Iran J Child Neurol. Winter 2016; 10(1):70-72.

Abstract

Objective

Guillain-Barre syndrome (GBS) is the most common cause of acute weakness in children. It has multiple variant forms with different presentations. A rare initial sign is ptosis. In this study, we present a 10-year-old girl with bilateral ptosis without opthalmoplegia followed by a weakness in extremities with a favourable response to intravenous immunoglobulin. Due to the patient’s initial eyelid levators, myasthenia gravis was ruled out by a Tensilon test and electrophysiological studies. Our report highlights the possibility of GBS as a cause of isolated ptosis, especially in cases without ophthalmoplegia.

Keywords:
  • Guillain-Barre Syndrome
  • Children
  • Ptosis
  • Weakness
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How to Cite

TALEBIAN, A., SOLTANI, B., & TALEBIAN, M. (2016). Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome. Iranian Journal of Child Neurology, 10(1), 65–69. https://doi.org/10.22037/ijcn.v10i1.6544
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References

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Karimzadeh P, Bakhshandeh Bali MK, Nasehi MM, Taheri Otaghsara SM, Ghofrani M. Atypical findings of guillain-barre syndrome in children. Iran J Child Neurol. 2012; 6(4): 17-22.

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