Delayed facial palsy in Miller Fisher syndrome.
Miller Fisher syndrome is characterised by the triad of ophthalmoplegia, ataxia and areflexia. However, facial palsy can occur during the course of the illness although development of facial palsy when other cardinal signs of Miller Fisher syndrome have reached nadir or improving, is unusual. This delayed appearance of facial palsy can be easily overlooked by the treating clinician. Here, we report four patients with Miller Fisher syndrome and delayed-onset facial palsy. We discuss the possible underlying reasons behind the delay in facial palsy.
Division of Neurology, Department of Medicine, Faculty of Medicine, University of Malaya, Malaysia. Electronic address: cytan@ummc.edu.my.
Cheng-Yin
CY
Tan
Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Brain and Mind Research Institute, University of Sydney, Australia.
Nobuhiro
N
Yuki
Division of Neurology, Department of Medicine, Faculty of Medicine, University of Malaya, Malaysia.
Nortina
N
Shahrizaila
D000328:Adult; D005158:Facial Paralysis / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019846:Miller Fisher Syndrome / Q000150:complications*; D013997:Time Factors; D055815:Young Adult
Anti-GQ1b antibody; Delayed facial palsy; Guillain–Barré syndrome; Immunotherapy; Miller Fisher syndrome; Treatment-related fluctuation