Miller Fisher syndrome presenting as palate paralysis

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 inaugur...

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Bibliographic Details
Main Author: Ahdab, Rechdi (author)
Other Authors: Sweid, Ahmad (author), Noureldine, Mohammad Hassan A. (author)
Format: article
Published: 2016
Online Access:http://hdl.handle.net/10725/10403
https://doi.org/10.1016/j.jneuroim.2016.07.013
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.sciencedirect.com/science/article/pii/S0165572816301692
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Summary: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.