title: Guillain-Barré syndrome with bilateral tonic pupils.
abstract: 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.
authors.affiliation: Department of Neurology, Urawa Municipal Hospital, Mimuro.
authors.forename: T
authors.initials: T
authors.lastname: Anzai
authors.forename: D
authors.initials: D
authors.lastname: Uematsu
authors.forename: K
authors.initials: K
authors.lastname: Takahashi
authors.forename: T
authors.initials: T
authors.lastname: Katayama
mesh_terms: 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
chemical_list: D010862:Pilocarpine; D011239:Prednisolone; D014439:Tyramine; D004837:Epinephrine