TAMAOUI, L.; RAHMANI, M.; TOUATI, H.; ERRGUIG, L.; BENABDELJLIL, M.; AIDI, S. Pharyngo-Cervico-Brachial Variant of Guillain-Barré or Miller Fisher Syndromes? When the Overlap Is Misleading. Reports2020, 3, 34.
TAMAOUI, L.; RAHMANI, M.; TOUATI, H.; ERRGUIG, L.; BENABDELJLIL, M.; AIDI, S. Pharyngo-Cervico-Brachial Variant of Guillain-Barré or Miller Fisher Syndromes? When the Overlap Is Misleading. Reports 2020, 3, 34.
TAMAOUI, L.; RAHMANI, M.; TOUATI, H.; ERRGUIG, L.; BENABDELJLIL, M.; AIDI, S. Pharyngo-Cervico-Brachial Variant of Guillain-Barré or Miller Fisher Syndromes? When the Overlap Is Misleading. Reports2020, 3, 34.
TAMAOUI, L.; RAHMANI, M.; TOUATI, H.; ERRGUIG, L.; BENABDELJLIL, M.; AIDI, S. Pharyngo-Cervico-Brachial Variant of Guillain-Barré or Miller Fisher Syndromes? When the Overlap Is Misleading. Reports 2020, 3, 34.
Abstract
Miller Fisher Syndrome (MFS) is a rare variant of Guillain-Barré Syndrome (GBS). It is largely a clinical diagnosis based on the classical features of ataxia, areflexia, and opthalmoplegia. Its clinical evolution is most often favorable. However, other neurological signs and symptoms may also be present. Supportive laboratory studies (positivity of antibodies, CSF albumin-cytological dissociation and nerve conduction studies) are useful especially in uncommon presentations. We report a case of a 74-year-old patient who exhibited dysphonia and difficulty to swallowing previously to the classic triad of ataxia, areflexia, and opthalmoplegia, characteristic of MFS. CSF analysis demonstrates an albumin-cytological dissociation but anti-GQ1b antibody were negative. The patient has spontaneously and completely recovered after several weeks.
Keywords
Miller Fisher Syndrome; Guillain Barré Syndrome variant; Dysphonia; Dysphagia
Subject
Medicine and Pharmacology, Neuroscience and Neurology
Copyright:
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