title: [A case of multiple cranial neuropathy after Campylobacter jejuni infection].
abstract: We report a patient who developed overlapping symptoms of ophthalmoplegia and oropharyngeal palsy after Campylobacter jejuni infection. A 15-year-old man had diarrhea and fever, and developed dysarthria, diplopia and ptosis two weeks later. He did not show ataxia, weakness or abnormal tendon reflexes in the extremities during the clinical course. In the acute phase of the disease, we found significant elevation of anti-GQlb and anti-GTla IgG antibodies in the serum, and high-dose intravenous immunoglobulin therapy remarkably ameliorated the symptoms. Our patient was atypical of Fisher syndrome or pharyngeal-cervical-brachial (PCB) weakness, and this is the first case of multiple cranial neuropathy associated with C. jejuni infection.
authors.affiliation: Department of Neurology, Tokai University School of Medicine.
authors.forename: Satoko
authors.initials: S
authors.lastname: Kobori
authors.forename: Fumihito
authors.initials: F
authors.lastname: Yoshii
authors.forename: Hirohide
authors.initials: H
authors.lastname: Takahashi
authors.forename: Shigeharu
authors.initials: S
authors.lastname: Takagi
authors.forename: Kei
authors.initials: K
authors.lastname: Funakoshi
mesh_terms: D000293:Adolescent; D002169:Campylobacter Infections / Q000150:complications*; D016123:Campylobacter jejuni / Q000302:isolation & purification; D003389:Cranial Nerve Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D019846:Miller Fisher Syndrome; D018908:Muscle Weakness / Q000209:etiology; D009886:Ophthalmoplegia / Q000209:etiology*; D009960:Oropharynx; D010243:Paralysis / Q000209:etiology; D010608:Pharyngeal Diseases / Q000209:etiology*