Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2016 Winter;10(1):70-2.

Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome

Ahmad Talebian  1 , Babak Soltani  1 , Motahhareh Talebian  1
Affiliations
Case Reports

Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome

Ahmad Talebian et al. Iran J Child Neurol. 2016 Winter.

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: Children; Guillain-Barre Syndrome; Ptosis; Weakness.

PubMed Disclaimer

Figures

Fig 1
Fig 1
Bilateral ptosis at onset of disease
Fig 2
Fig 2
Resolution of ptosis a month after IVIG treatment
See this image and copyright information in PMC

References

    1. 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. - PubMed
    1. Gurwood AS, Drake J. Guillain-Barre syndrome. Optometry. 2006;77(11):540–6. - PubMed
    1. Levin KH. Variants and mimics of Guillain Barre Syndrome. Neurologist. 2004;10(2):61–74. - PubMed
    1. Oh SJ, LaGanke C, Claussen GC. Sensory Guillain-Barre syndrome. Neurology. 2001;56(1):82–6. - PubMed
    1. Keane JR. Bilateral ocular paralysis: analysis of 31 inpatients. Arch Neurol. 2007;64(2):178–80. - PubMed

Publication types

LinkOut - more resources