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The Differential Diagnosis of Acute Onset Truncal Ataxia: The Importance of Dysgeusia in Miller Fisher Syndrome
- Source :
- Internal Medicine
- Publication Year :
- 2018
- Publisher :
- Japanese Society of Internal Medicine, 2018.
-
Abstract
- Miller Fisher syndrome (MFS) can be difficult to diagnose, particularly in mild cases where some of the standard triad of symptoms (external ophthalmoplegia, ataxia, and loss of deep tendon reflex) are absent. We herein report a case of the incomplete form of MFS diagnosed in a 54-year-old Japanese man who presented only with ataxia symptoms and was positive for the anti-GQ1b antibody. However, the patient also suffered from dysgeusia, a significant impairment of taste perception. We propose that dysgeusia in acute-onset ataxia cases may constitute an important clinical feature to aid in the diagnosis of the incomplete form of MFS.
- Subjects :
- Male
musculoskeletal diseases
congenital, hereditary, and neonatal diseases and abnormalities
medicine.medical_specialty
Ataxia
Case Report
030204 cardiovascular system & hematology
Dysgeusia
Diagnosis, Differential
03 medical and health sciences
0302 clinical medicine
Acute onset
Gangliosides
differential diagnosis
Internal Medicine
Humans
Medicine
Miller-Fisher syndrome
Miller Fisher Syndrome
business.industry
External ophthalmoplegia
taste impairment
ataxia
General Medicine
Middle Aged
Dermatology
GQ1b
medicine.symptom
Differential diagnosis
business
030217 neurology & neurosurgery
Truncal ataxia
Subjects
Details
- ISSN :
- 13497235 and 09182918
- Volume :
- 57
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....1820f1d5fdf9b8727cda50a9c256598f