Isolated Bilateral Ptosis as an Early Sign of Guillain-Barré Syndrome

Abstract EN

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.