Bilateral ptosis as the first presentation of Guillain-Barre syndrome

Talebian, A. and Soltani, B. and Talebian, M. (2016) Bilateral ptosis as the first presentation of Guillain-Barre syndrome. Iranian Journal of Child Neurology, 10 (1). pp. 70-72.

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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. © 2016, Iranian Child Neurology Society. All rights reserved.

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: immunoglobulin, Article; case report; child; diagnostic test; electrophysiology; female; Guillain Barre syndrome; human; muscle weakness; myasthenia gravis; ophthalmoplegia; polyneuropathy; ptosis; school child; Tensilon test; treatment response
Subjects: Medicine
Divisions: Faculty of Medicine > Clinical Sciences > Department of Pediatrics
Depositing User: editor . 2
Date Deposited: 08 Mar 2017 19:03
Last Modified: 08 Mar 2017 19:03

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