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KMID : 1035220140060010029
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Korean Journal of Neuromuscular Disorders
2014 Volume.6 No. 1 p.29 ~ p.33
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Unilateral Oculomotor Nerve Palsy in Acute Motor Axonal Neuropathy
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Lee Hyung-Soo
Lee Hyo-Eun
Lee Hyung-Seok
Jeong Seung-Ho
Kim Jong-Kuk
Kim Seung-Min
Shin Ha-Young
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Abstract
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A 67-year-old woman developed acute left oculomotor nerve palsy, as well as weakness in all four limbs. Neurologic examinations and electrophysiologic study revealed an acute motor axonal neuropathy, a subtype of Guillian-Barre syndrome (GBS). Serum IgG type of anti GM1 antibody titer was elevated at first and decreased simultaneously with improvement of left oculomotor nerve palsy. This extremely rare manifestation of unilateral cranial neuropathy presenting as oculomotor nerve palsy in axonal GBS indicates clinical variability of axonal GBS.
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KEYWORD
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GuillainBarr syndrome, Acute motor axonal neuropathy, Unilateral oculomotor nerve palsy
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