title: Bilateral Ptosis as the First Presentation of Guillain-Barre Syndrome.
abstract: Objective Guillain-Barre syndrome (GBS) is the most common cause of acute weakness in children. It has multiple variant forms with different presentations. A rare initial sign is ptosis. In this study, we present a 10-year-old girl with bilateral ptosis without opthalmoplegia followed by a weakness in extremities with a favourable response to intravenous immunoglobulin. Due to the patient's initial eyelid levators, myasthenia gravis was ruled out by a Tensilon test and electrophysiological studies. Our report highlights the possibility of GBS as a cause of isolated ptosis, especially in cases without ophthalmoplegia.
authors.affiliation: Department of Pediatrics, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Talebian
authors.affiliation: Department of Pediatrics, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Babak
authors.initials: B
authors.lastname: Soltani
authors.affiliation: Department of Pediatrics, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Motahhareh
authors.initials: M
authors.lastname: Talebian
keywords: Children; Guillain-Barre Syndrome; Ptosis; Weakness