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 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.
Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University Medical Center, Beirut, Lebanon. Electronic address: mohammadhassan.noureldine@lau.edu.
Mohammad Hassan A
MH
Noureldine
Division of Neurosurgery, Lebanese American University Medical Center, Beirut, Lebanon. Electronic address: ahmad.sweid@lau.edu.
Ahmad
A
Sweid
Division of Neurology, Lebanese American University Medical Center, Beirut, Lebanon. Electronic address: chadahdab@gmail.com.
Rechdi
R
Ahdab
D048909:Diabetes Complications / Q000503:physiopathology; D003937:Diagnosis, Differential; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D019846:Miller Fisher Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D010159:Palate / Q000473:pathology*; D010243:Paralysis / Q000473:pathology* / Q000503:physiopathology
Guillain-Barre; Miller Fisher; Palate paralysis