[Unilateral dilated light-unresponsive pupil in Guillain Barré syndrome].
We report a case of Guillain Barré syndrome presenting with a unilateral internal ophthalmoplegia and unilateral minor sensory impairment, followed by respiratory failure, missing reflexes, tetraparesis and bilateral facial weakness. All symptoms responded to immunoglobulin. The diagnosis was confirmed by cerebrospinal fluid analysis and electroneurography. This case was especially unusual because the pupil abnormality was unilateral and appeared prior to motor impairment.
Royen
Lydia
L
Arhus Universitetshospital, Aalborg Sygehus, Neurologisk Afdeling, Denmark. royen@gmx.de
Olsen
Niels Kjaer
NK
D000328:Adult; D003937:Diagnosis, Differential; D020275:Guillain-Barre Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008297:Male; D009886:Ophthalmoplegia / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D015845:Tonic Pupil / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology
D016756:Immunoglobulins, Intravenous