Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome
Iranian Journal of Child Neurology,
Vol. 10 No. 1 (2016),
1 January 2016
,
Page 65-69
https://doi.org/10.22037/ijcn.v10i1.6544
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.
- Guillain-Barre Syndrome
- Children
- Ptosis
- Weakness
How to Cite
References
McGrogan A, Madle GC, Seaman HE, de Vries CS. The epidemiology of Guillain-Barre syndrome worldwide. A systematic literature review. Neuroepidemiology. 2009; 32(2): 150-63.
Gurwood AS,Drake J. Guillain-Barre syndrome. Optometry. 2006; 77(11): 540-6.
Levin KH. Variants and mimics of Guillain Barre Syndrome. Neurologist. 2004; 10(2): 61-74.
Oh SJ, LaGanke C, Claussen GC. Sensory Guillain-Barre syndrome. Neurology. 2001; 56(1): 82-6.
Keane JR. Bilateral ocular paralysis: analysis of 31 inpatients. Arch Neurol. 2007; 64(2): 178-80.
de Entrambasaguas M, Lopez-Bernabe R, Lopez- Alemany M. [Ocular myasthenia gravis: diagnostic aspects and evolution]. Rev Neurol. 2007; 44(7): 397-403.
Odaka M, Yuki N, Hirata K. Anti-GQ1b IgG antibody syndrome: clinical and immunological range. J Neurol Neurosurg Psychiatry. 2001; 70(1): 50-5.
Stalpers XL, Verhagen WI, Meulstee J. Isolated bilateral ptosis as the only ophthalmologic sign in the Fisher variant of Guillain-Barre syndrome. J Neuroophthalmol. 2009; 29(4): 354-5.
Teng HW,Sung JY. Ptosis as the initial presentation of Guillain-Barre syndrome. J Emerg Med. 2012; 43(5): e283-5.
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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