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- Hao-Wen Teng and Jia-Ying Sung.
- Department of Neurology, Taipei Medical University - Wan Fang Hospital, Taipei, Taiwan.
- J Emerg Med. 2012 Nov 1;43(5):e283-5.
BackgroundGuillain-Barré syndrome has been regarded as a spectrum of diseases with many variants.ObjectiveTo present a case in which, when the ocular muscles are affected in the beginning, it is very challenging to distinguish Guillain-Barré syndrome from myasthenia gravis.Case ReportWe describe a patient with Guillain-Barré syndrome who presented initially with isolated ptosis without ophthalmoplegia and subsequently developed descending paralysis. Due to the primary involvement of the lid levators, the patient was initially diagnosed as having a myasthenic crisis.ConclusionAlthough extremely rare, Guillain-Barré syndrome can present initially as isolated ptosis with subsequent descending paralysis.Copyright © 2012 Elsevier Inc. All rights reserved.
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