Noureldine Mohammad Hassan A, Sweid Ahmad, Ahdab Rechdi
Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University Medical Center, Beirut, Lebanon.
Division of Neurosurgery, Lebanese American University Medical Center, Beirut, Lebanon.
J Neuroimmunol. 2016 Sep 15;298:130-1. doi: 10.1016/j.jneuroim.2016.07.013. Epub 2016 Jul 18.
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.
我们报告了一名63岁的患者，该患者最初因鼻音过重前来就医，随后出现共济失调、上睑下垂、发音障碍和感觉异常。患者的病史、体格检查及其他检查结果导致其被诊断为米勒费雪综合征（MFS）。腭麻痹作为MFS的首发表现非常罕见，需要神经科医生和耳鼻喉科医生特别关注。尽管它可能表现为声音的急性变化，看似良性，但早期诊断和及时处理可预防进一步的并发症。
