Variants of Guillain-Barré syndrome: Miller Fisher syndrome, facial diplegia and multiple cranial nerve palsies.
We report the experience at a large teaching hospital over a 10 year period with Miller Fisher Syndrome, facial diplegia, and multiple cranial nerve palsies. In these patients, absence of drowsiness on examination, normal cranial CT scans, albumino-cytological dissociation on CSF examination and slowing of nerve conduction, all suggest that a peripheral nerve dysfunction is the underlying mechanism. Pertinent literature is reviewed, in an attempt to separate these probable variants of Guillain-Barré Syndrome from brainstem encephalitis, with which they may be confused.
Shuaib
A
A
Department of Clinical Neurosciences, University of Calgary, Alberta, Canada.
Becker
W J
WJ
D002524:Cerebellar Ataxia / Q000503:physiopathology; D003389:Cranial Nerve Diseases / Q000503:physiopathology*; D003391:Cranial Nerves / Q000503:physiopathology; D003937:Diagnosis, Differential; D005158:Facial Paralysis / Q000503:physiopathology*; D006801:Humans; D009886:Ophthalmoplegia / Q000503:physiopathology; D010243:Paralysis / Q000503:physiopathology*; D011129:Polyradiculoneuropathy / Q000503:physiopathology*; D012021:Reflex, Abnormal / Q000503:physiopathology