A case of Guillain-Barre syndrome presented with bilateral pseudo-internuclear ophthalmoplegia

• Main Authors: Sadegh Izadi, Iman sabzgolin
• Format: Article
• Language: English
• Published: Shahid Beheshti University of Medical Sciences 2015-01-01
• Series: International Clinical Neuroscience Journal
• Online Access: http://journals.sbmu.ac.ir/Neuroscience/article/download/8198/pdf_14

Guillain-Barre syndrome (GBS) or acute idiopathic polyradiculoneuritis is an acquired immunemediated inflammatory and mainly demyelinating disorder of the peripheral nervous system. Cranial nerves are affected in over 50% of all cases, with the facial nerves being affected the most. It uncommonly presents as atypical forms such as brachial pharyngeal variant, miller fisher and other restricted forms. Herein, we reported a 44 year old male with GBS who presented with diplopia and bilateral pseudo- internuclear ophthalmoplegia. Initially, the patient was confused as a case of multiple sclerosis but finally diagnosis of GBS was made. Although internuclear ophthalmoplegia is a typical feature of multiple sclerosis, it may be seen as a rare manifestation of GBS as well.