BACKGROUND: Highly asymmetric clinical signs in a patient suggest the need for caution in making the diagnosis of Guillain-Barré Syndrome (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.
BACKGROUND: Highly asymmetric clinical signs in a patient suggest the need for caution in making the diagnosis of Guillain-Barré Syndrome (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.
Authors: S Hakamada; K Watanabe; K Hara; S Miyazaki; I Sato; E Tanaka; T Yamazaki; Y Kajita; M Maehara Journal: Brain Dev Date: 1980 Impact factor: 1.961