title: [Case of Fisher syndrome with impairment of taste].
abstract: A 38-year-old man developed dysesthesia, diplopia, and an unsteady gait following an upper respiratory infection. IgG anti-GQ1b antibody was detected in his serum and he was diagnosed as Fisher syndrome. The patient also complained of loss of taste sensation, and it resolved along with improvement of other neurological manifestations. In Guillain-Barré syndrome, cranial nerve involvement is very common, though taste disturbance is a rare complaint. Impairment of taste has been reported in association with severe facial nerve involvement, but taste disturbance developed without facial nerve palsy in the present case and taste sensation was diminished in the area of all four nerves involved in taste sensation. These findings suggest that the impaired taste sensation in the present patient was not a complication of facial nerve palsy as in previous cases, but rather due to taste sensory specific involvement.
authors.affiliation: Department of Internal Medicine and Neurology, School of Medicine, Kyorin University.
authors.forename: Ayumi
authors.initials: A
authors.lastname: Uchibori
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Kashiwagi
authors.forename: Sousuke
authors.initials: S
authors.lastname: Takeuchi
authors.forename: Atsuro
authors.initials: A
authors.lastname: Chiba
authors.forename: Manabu
authors.initials: M
authors.lastname: Sakuta
mesh_terms: D000328:Adult; D020435:Glossopharyngeal Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000008:administration & dosage; D008297:Male; D019846:Miller Fisher Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D016896:Treatment Outcome
chemical_list: D016756:Immunoglobulins, Intravenous