全外眼筋麻痺を伴つたGuillain-Barré症候群の1例

A Case of Guillain-Barre Syndrome Associated with Total External Ophthalmoplegia

I．はじめに

　Guillain-Barré症候群では四肢の弛緩性麻痺に各種脳神経の末梢性障害を伴うことはかなり多いが，全外眼筋麻痺を呈する症例はきわめて少なく，その報告もわずかしかみあたらない。われわれは最近こうした1例を経験したのでここに報告し，類似の文献例についての考察を加えることにする。

A case of Guillain-Barré syndrome associated with total external ophthalmoplegia in a 16 year-old female was presented.

She noticed diplopia and weakness of four limbs on the fifth day after the end of diarrhea.

Neurological examination on the seventh day after the onset of neurological symptoms, revealed flaccid tetraplegia, total external ophthalmoplegia, facial diplegia, dysphagia, dysarthria and bilateral weakness of tongue.

Deep reflexes were generally abolished but sensory impairments were not found anywhere.

About 2 weeks after onset, her condition began to recover gradually, and ophthalmoplegia was entirely cleared up within 40 days.

Repeated examination of CSF always showed remarkable albuminocytologic dissociation.

The titre of polio neutralizing antibody in serum was not elevated. Similar cases of literature were reviewed and discussed.