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November 1966

Papilledema and Hydrocephalus Associated With Recurrent Polyneuritis: Guillain-Barré Type

Author Affiliations

From the Department of Neurology (Dr. Janeway) and the Department of Surgery (Dr. Kelly), Bowman Gray School of Medicine of Wake Forest College, Winston-Salem, NC.

Arch Neurol. 1966;15(5):507-514. doi:10.1001/archneur.1966.00470170061006

PAPILLEDEMA in association with increased intracranial pressure has been documented infrequently in the Guillain-Barré syndrome (GBS),1-11 if one accepts as a requirement the authentication of normal visual acuity. We recently treated a patient who had these signs for 20 months and in whom communicating hydrocephalus developed. This phenomenon has not previously been reported. We are reporting our observations in detail, since they may help to clarify the genesis of these complications.

Theories of the pathogenesis of papilledema in GBS can be grouped into those implying a relation between increased cerebrospinal fluid (CSF) protein and elevated intracranial pressure, and those that state that cerebral edema is the most prominent causative factor. In our patient, at the time of operation for subtemporal decompression, there was no sign of brain swelling and he did not improve following this procedure. However, papilledema and increased intracranial pressure resolved promptly after the creation of a

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