Pharyngo-Cervico-Brachial Variant of Guillain-Barré or Miller Fisher Syndromes? When the Overlap Is Misleading
| Autor: | M. Benabdeljlil, Hajar Touati, Leila Tamaoui, Saadia Aidi, M. Rahmani, Leila Errguig |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Neurological signs
lcsh:Medical physics. Medical radiology. Nuclear medicine medicine.medical_specialty Ataxia Dissociation (neuropsychology) dysphagia lcsh:R895-920 030204 cardiovascular system & hematology Gastroenterology 03 medical and health sciences 0302 clinical medicine dysphonia Swallowing Internal medicine otorhinolaryngologic diseases Medicine Miller-Fisher syndrome Electrical and Electronic Engineering lcsh:R5-920 Miller Fisher Syndrome business.industry Dysphagia Atomic and Molecular Physics and Optics Clinical diagnosis medicine.symptom Guillain Barré Syndrome variant business Nerve conduction lcsh:Medicine (General) 030217 neurology & neurosurgery |
| Zdroj: | Reports, Vol 3, Iss 34, p 34 (2020) |
| Popis: | 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. Anti-GTa1 antibodies were found but anti-GQ1b antibodies were negative. The patient has spontaneously and completely recovered after 6 weeks. |
| Databáze: | OpenAIRE |
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