<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932026000100309</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2026.e13142609</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Paciente con debilidad aguda de hemicuerpo izquierdo]]></article-title>
<article-title xml:lang="en"><![CDATA[Patient with acute weakness on the left side of the body]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benegas González]]></surname>
<given-names><![CDATA[Noham Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobar González]]></surname>
<given-names><![CDATA[Cecilia Monserrat]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cavia Franco]]></surname>
<given-names><![CDATA[Tatiana Maribel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velázquez González]]></surname>
<given-names><![CDATA[Gabriela María Sonia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Pavón]]></surname>
<given-names><![CDATA[Luis Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Patiño Castillo]]></surname>
<given-names><![CDATA[Ronald Elías]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Scorza Amarilla]]></surname>
<given-names><![CDATA[Juan Ricardo Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Privada del Este Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<volume>13</volume>
<numero>1</numero>
<fpage>309</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932026000100309&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932026000100309&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932026000100309&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Es común que la brusca debilidad de hemicuerpo izquierdo, sobre todo en pacientes añosos y portadores de factores de riesgo cardiovascular, sea debida a un ictus, como causa etiológica. Se presenta caso de mujer de 79 años que consultó por brusca debilidad de hemicuerpo izquierdo. Al examen físico se constata cuadriparesia a predominio de miembros izquierdos, con hipotonía e hiporreflexia. Luego de estudios pertinentes se confirma un síndrome de Guillain Barré, que mejoró con infusiones de inmunoglobulina humana.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT It is common for sudden weakness in the left side of the body, especially in elderly patients and those with cardiovascular risk factors, to be caused by a stroke. We present the case of a 79-year-old woman who consulted for sudden weakness in the left side of her body. Physical examination revealed quadriparesis predominantly affecting the left limbs, with hypotonia and hyporeflexia. After relevant tests, Guillain-Barré syndrome was confirmed, which improved with human immunoglobulin infusions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[síndrome de Guillain-Barré]]></kwd>
<kwd lng="es"><![CDATA[accidente cerebrovascular]]></kwd>
<kwd lng="es"><![CDATA[paresia]]></kwd>
<kwd lng="es"><![CDATA[anamnesis]]></kwd>
<kwd lng="en"><![CDATA[Guillain-Barré syndrome]]></kwd>
<kwd lng="en"><![CDATA[stroke]]></kwd>
<kwd lng="en"><![CDATA[paresis]]></kwd>
<kwd lng="en"><![CDATA[medical history]]></kwd>
</kwd-group>
</article-meta>
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