Guillain-Barré syndrome with bilateral tonic pupils.
A 53-year-old patient with Guillain-Barré syndrome preceded by herpes simplex virus infection developed bilateral tonic pupils with light-near dissociation. Pharmacological tests for pupils suggested postganglionic involvement of the parasympathetic and sympathetic nerves. A demyelinating process of peripheral autonomic nerves was suspected to be the cause of the tonic pupils and autonomic dysfunction.
Anzai
T
T
Department of Neurology, Urawa Municipal Hospital, Mimuro.
Uematsu
D
D
Takahashi
K
K
Katayama
T
T
D004837:Epinephrine; D006561:Herpes Simplex / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D010862:Pilocarpine; D011129:Polyradiculoneuropathy / Q000150:complications*; D011239:Prednisolone / Q000627:therapeutic use; D015845:Tonic Pupil / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014439:Tyramine
D010862:Pilocarpine; D011239:Prednisolone; D014439:Tyramine; D004837:Epinephrine