Miller Fisher syndrome presenting as palate paralysis

J Neuroimmunol. 2016 Sep 15:298:130-1. doi: 10.1016/j.jneuroim.2016.07.013. Epub 2016 Jul 18.

Abstract

We report a 63-year old patient who presented to our care initially with a hypernasal voice followed by ataxia, ptosis, dysphonia, and paresthesias. The patient's history, physical examination, and additional tests led to a Miller Fisher syndrome (MFS) diagnosis. Palatal paralysis as an inaugurating manifestation of MFS is quite rare and requires special attention from neurologists and otolaryngologists. Although it may present as benign as an acute change in voice, early diagnosis and prompt management may prevent further complications.

Keywords: Guillain-Barre; Miller Fisher; Palate paralysis.

Publication types

  • Case Reports

MeSH terms

  • Diabetes Complications / physiopathology
  • Diagnosis, Differential
  • Humans
  • Hypertension / complications
  • Male
  • Middle Aged
  • Miller Fisher Syndrome / diagnosis*
  • Miller Fisher Syndrome / etiology
  • Miller Fisher Syndrome / physiopathology
  • Palate / pathology*
  • Paralysis / pathology*
  • Paralysis / physiopathology