Unilateral third nerve palsy caused by Guillain-Barré Syndrome

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• 作者：Erik K. St. Louis MD (1)
  Daniel M. Jacobson (1) (2)
  
• 关键词：Unilateral third nerve palsy ; asymmetric clinical sign ; Guillain ; Barré Syndrome
• 刊名：Neurocritical Care
• 出版年：2004
• 出版时间：December 2004
• 年：2004
• 卷：1
• 期：4
• 页码：461-464
• 全文大小：1635KB
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• 作者单位：Erik K. St. Louis MD (1)
  Daniel M. Jacobson (1) (2)
  
  1. Department of Neurology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 52242, Iowa City, IA
  2. Department of Opthalmology, Marshfield Clinic, Marshfield, WI
  

文摘

Background: Highly asymmetric clinical signs in a patient suggest the need for caution in making the diagnosis of Guillain-Barré Syndome (GBS). Methods: Case report and literature review. We present a case of strictly unilateral left third cranial nerve palsy in a patient with GBS, review other highly asymmetrical cranial nerve palsies previously reported in this condition, and suggest an appropriate alternative differential diagnosis. Conclusion: Unilateral third cranial nerve palsy is an exceptionally rare manifestation of GBS, expanding the spectrum of clinical signs and neuraxis involvement that may be seen in the condition.