caa a22 4500 445355921 CHVBK 20180317142900.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10072-011-0708-z doi (NATIONALLICENCE)springer-10.1007/s10072-011-0708-z Bilateral abducens palsy in a case of cytomegalovirus-associated Guillain-Barré syndrome [Elektronische Daten] [Masahiko Kishi, Ryuji Sakakibara, Emina Ogawa, Fuyuki Tateno, Osamu Takahashi, Michiaki Koga] Abstract:: Ophthalmoparesis in cytomegalovirus (CMV)-associated Guillain-Barré syndrome (GBS) is rare. We treated a 37-year-old woman with CMV-GBS who presented with an acute onset of generalized weakness and numbness in the extremities, followed by facial diplegia, which led to mechanical ventilation. She had increased IgM and IgG-type antibodies against CMV in the serum and increased IgM-type serum anti-GM2 ganglioside antibody was also noted, whereas anti-GQ1b ganglioside antibody was not found. She then developed the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). After recovery of consciousness due to SIADH, she exhibited bilateral abducens palsy, together with the recurrence of limb weakness and facial diplegia. Her neurological signs gradually recovered after high-dose intravenous administrations of immunoglobulin. CMV infection should be listed in the differential diagnosis of GBS patients who present with ophthalmoparesis. Springer-Verlag, 2011 Guillain-Barre syndrome nationallicence Cytomegalovirus nationallicence Abducens nerve palsy nationallicence Ophthalmoplegia nationallicence SIADH nationallicence Kishi Masahiko Neurology Division, Department of Internal Medicine, Sakura Medical Center, Toho University, 564-1 Shimoshizu, 285-8741, Sakura, Japan aut Sakakibara Ryuji Neurology Division, Department of Internal Medicine, Sakura Medical Center, Toho University, 564-1 Shimoshizu, 285-8741, Sakura, Japan aut Ogawa Emina Neurology Division, Department of Internal Medicine, Sakura Medical Center, Toho University, 564-1 Shimoshizu, 285-8741, Sakura, Japan aut Tateno Fuyuki Neurology Division, Department of Internal Medicine, Sakura Medical Center, Toho University, 564-1 Shimoshizu, 285-8741, Sakura, Japan aut Takahashi Osamu Clinical Physiology Unit, Sakura Medical Center, Toho University, Sakura, Japan aut Koga Michiaki Neurology, Yamaguchi University, 1-1-1 Minami-kogushi, Ube, 755-8505, Yamaguchi, Japan aut Neurological Sciences Springer Milan 32/6(2011-12-01), 1219-1222 1590-1874 32:6<1219 2011 32 10072 https://doi.org/10.1007/s10072-011-0708-z text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0708-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kishi Masahiko Neurology Division, Department of Internal Medicine, Sakura Medical Center, Toho University, 564-1 Shimoshizu, 285-8741, Sakura, Japan aut NATIONALLICENCE 700 1- Sakakibara Ryuji Neurology Division, Department of Internal Medicine, Sakura Medical Center, Toho University, 564-1 Shimoshizu, 285-8741, Sakura, Japan aut NATIONALLICENCE 700 1- Ogawa Emina Neurology Division, Department of Internal Medicine, Sakura Medical Center, Toho University, 564-1 Shimoshizu, 285-8741, Sakura, Japan aut NATIONALLICENCE 700 1- Tateno Fuyuki Neurology Division, Department of Internal Medicine, Sakura Medical Center, Toho University, 564-1 Shimoshizu, 285-8741, Sakura, Japan aut NATIONALLICENCE 700 1- Takahashi Osamu Clinical Physiology Unit, Sakura Medical Center, Toho University, Sakura, Japan aut NATIONALLICENCE 700 1- Koga Michiaki Neurology, Yamaguchi University, 1-1-1 Minami-kogushi, Ube, 755-8505, Yamaguchi, Japan aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32/6(2011-12-01), 1219-1222 1590-1874 32:6<1219 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer