Teng Hao-Wen, Sung Jia-Ying
Department of Neurology, Taipei Medical University - Wan Fang Hospital, Taipei, Taiwan.
J Emerg Med. 2012 Nov;43(5):e283-5. doi: 10.1016/j.jemermed.2010.05.016. Epub 2010 Jul 15.
Guillain-Barré syndrome has been regarded as a spectrum of diseases with many variants.
To present a case in which, when the ocular muscles are affected in the beginning, it is very challenging to distinguish Guillain-Barré syndrome from myasthenia gravis.
We describe a patient with Guillain-Barré syndrome who presented initially with isolated ptosis without ophthalmoplegia and subsequently developed descending paralysis. Due to the primary involvement of the lid levators, the patient was initially diagnosed as having a myasthenic crisis.
Although extremely rare, Guillain-Barré syndrome can present initially as isolated ptosis with subsequent descending paralysis.
吉兰-巴雷综合征被认为是一种具有多种变体的疾病谱。
报告一例最初眼部肌肉受累时，很难将吉兰-巴雷综合征与重症肌无力区分开来的病例。
我们描述了一名吉兰-巴雷综合征患者，该患者最初仅表现为上睑下垂，无眼肌麻痹，随后出现下行性麻痹。由于提上睑肌首先受累，该患者最初被诊断为重症肌无力危象。
尽管极为罕见，但吉兰-巴雷综合征最初可表现为孤立性上睑下垂，随后出现下行性麻痹。
