Isolated Bilateral Ptosis as an Early Sign of Guillain-Barré Syndrome
Background. 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...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/178291 |
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| _version_ | 1832567623593754624 |
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| author | Yahia Z. Imam Dirk Deleu |
| author_facet | Yahia Z. Imam Dirk Deleu |
| author_sort | Yahia Z. Imam |
| collection | DOAJ |
| description | Background. 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. |
| format | Article |
| id | doaj-art-dbf17c264f424a5f93462cecfc7dc978 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-dbf17c264f424a5f93462cecfc7dc9782025-02-03T01:01:07ZengWileyCase Reports in Neurological Medicine2090-66682090-66762013-01-01201310.1155/2013/178291178291Isolated Bilateral Ptosis as an Early Sign of Guillain-Barré SyndromeYahia Z. Imam0Dirk Deleu1Department of Neurology (Medicine), Hamad Medical Corporation, P.O. Box 3050, Doha, QatarDepartment of Neurology (Medicine), Hamad Medical Corporation, P.O. Box 3050, Doha, QatarBackground. 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.http://dx.doi.org/10.1155/2013/178291 |
| spellingShingle | Yahia Z. Imam Dirk Deleu Isolated Bilateral Ptosis as an Early Sign of Guillain-Barré Syndrome Case Reports in Neurological Medicine |
| title | Isolated Bilateral Ptosis as an Early Sign of Guillain-Barré Syndrome |
| title_full | Isolated Bilateral Ptosis as an Early Sign of Guillain-Barré Syndrome |
| title_fullStr | Isolated Bilateral Ptosis as an Early Sign of Guillain-Barré Syndrome |
| title_full_unstemmed | Isolated Bilateral Ptosis as an Early Sign of Guillain-Barré Syndrome |
| title_short | Isolated Bilateral Ptosis as an Early Sign of Guillain-Barré Syndrome |
| title_sort | isolated bilateral ptosis as an early sign of guillain barre syndrome |
| url | http://dx.doi.org/10.1155/2013/178291 |
| work_keys_str_mv | AT yahiazimam isolatedbilateralptosisasanearlysignofguillainbarresyndrome AT dirkdeleu isolatedbilateralptosisasanearlysignofguillainbarresyndrome |