External ophthalmoplegia, ataxia, and areflexia complicating acute infectious polyneuritis.
A 13-year-old girl suddenly experienced ataxia, bilateral external ophthalmoplegia, and areflexia. She was previously healthy but several family members had had a flu-like illness. Cerebrospinal fluid punctures demonstrated a persistent lymphocytosis and protein elevation. Clinical improvement occurred in several months. These findings represent a variant of Guillain-Barré-Strohl syndrome (infectious polyneuritis), a systemic illness rather than a primary ophthalmologic entity.
D000293:Adolescent; D001259:Ataxia / Q000209:etiology*; D001763:Blepharoptosis / Q000209:etiology; D002556:Cerebrospinal Fluid Proteins; D005260:Female; D006801:Humans; D007251:Influenza, Human / Q000235:genetics; D008218:Lymphocytosis / Q000134:cerebrospinal fluid; D009886:Ophthalmoplegia / Q000209:etiology*; D011128:Polyradiculopathy / Q000150:complications*; D012021:Reflex, Abnormal / Q000209:etiology*
D002556:Cerebrospinal Fluid Proteins