Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome

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...

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Autores principales: TALEBIAN, Ahmad, SOLTANI, Babak, TALEBIAN, Motahhareh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shahid Beheshti University of Medical Sciences 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4815491/
https://www.ncbi.nlm.nih.gov/pubmed/27057192
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author TALEBIAN, Ahmad
SOLTANI, Babak
TALEBIAN, Motahhareh
author_facet TALEBIAN, Ahmad
SOLTANI, Babak
TALEBIAN, Motahhareh
author_sort TALEBIAN, Ahmad
collection PubMed
description 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.
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spelling pubmed-48154912016-04-07 Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome TALEBIAN, Ahmad SOLTANI, Babak TALEBIAN, Motahhareh Iran J Child Neurol Case Report 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. Shahid Beheshti University of Medical Sciences 2016 /pmc/articles/PMC4815491/ /pubmed/27057192 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
TALEBIAN, Ahmad
SOLTANI, Babak
TALEBIAN, Motahhareh
Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome
title Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome
title_full Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome
title_fullStr Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome
title_full_unstemmed Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome
title_short Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome
title_sort bilateral ptosis as the first presentation of guillain-barre syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4815491/
https://www.ncbi.nlm.nih.gov/pubmed/27057192
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