[A case of Fisher syndrome with multiple cranial neuropathy and abnormal EEG findings]
| Autor: | Keiko Taguchi, Yoko Okada, Tokihisa Nagai, Tetsuro Miki, Michiya Igase, Nako Shinohara, Katsuhiko Kohara, Masayuki Ochi, Rie Takita, Kenji Kamogawa |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Bilateral facial palsy
Ataxia Miller Fisher Syndrome medicine.diagnostic_test business.industry External ophthalmoplegia Bickerstaff brainstem encephalitis Fisher Syndrome Electroencephalography Hyporeflexia Hypoesthesia medicine.disease Cranial Nerve Diseases Anesthesia medicine Nerve conduction study Humans Female Geriatrics and Gerontology medicine.symptom business Aged |
| Zdroj: | Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics. 49(3) |
| ISSN: | 0300-9173 |
| Popis: | A 69-year-old woman was admitted because of unconsciousness and multiple cranial neuropathy. She had suffered diarrhea 2 weeks previously. On examination, she was noted to have total external and internal ophthalmoplegia, bilateral facial palsy, dysphagia, dysarthria, neck weakness, distal motor weakness of all limbs, and ataxia. She had also presented with hyporeflexia and hypoesthesia, but with a bilateral pyramidal tract sign. A study of her cerebrospinal fluid revealed albuminocytologic dissociation, and nerve conduction study revealed demyelination of her peripheral nerves. Moreover, electroencephalography findings were abnormal and anti-GQ1b antibody was positive. We diagnosed Fisher syndrome with Guillain-Barre syndrome and Bickerstaff brainstem encephalitis. We administered intravenous immunoglobulin treatment for 5 days and her symptoms gradually improved. However, her external ophthalmoplegia continued for several months. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|