Anti-GQ1b Negative Miller Fisher Syndrome Mimicking Acute Sphenoid Sinusitis

被引:1
作者
Ramasamy, Kuganathan [1 ]
Saniasiaya, Jeyasakthy [2 ]
Gani, Norhaslinda Abdul [1 ]
机构
[1] Hosp Tuanku Jaafar Seremban, Dept Otorhinolaryngol Head & Neck Surg, Seremban, Negeri Sembilan, Malaysia
[2] Univ Malaya, Fac Med, Dept Otorhinolaryngol Head & Neck Surg, Kuala Lumpur, Malaysia
来源
JOURNAL OF CLINICAL PRACTICE AND RESEARCH | 2023年 / 45卷 / 03期
关键词
Miller Fisher syndrome; Guillain-Barre Syndrome; ophthalmoplegia; sinusitis; sphenoid sinusitis; THROMBOSIS SECONDARY; GUILLAIN-BARRE;
D O I
10.14744/etd.2022.80932
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Miller Fisher Syndrome is a variant of Guillain-Barre Syndrome, classically characterized by the triad of ataxia, areflexia and ophthalmoplegia. However, many conditions can mask the presentation of Miller Fisher Syndrome, potentially leading to grave consequences due to delayed diagnosis or even misdiagnosis. Case Report: We describe a case of Miller Fisher Syndrome mimicking acute sphenoid sinusitis with intracranial complications in an otherwise healthy 19-year-old man. Accurate diagnosis with prompt treatment led to full clinical recovery of our patient. Conclusion: Sphenoid sinusitis warrants great vigilance and thorough neurological examination due to its proximity to structures such as the cavernous sinus and its associated cranial nerves. This case highlights its potential to mask more devastating conditions like Miller Fisher Syndrome and the successful role of medical management without the need for sphenoidotomy.
引用
收藏
页码:307 / 309
页数:3
相关论文
共 10 条
[1]   Miller fisher variant of guillain-barre syndrome masquerading as acute sphenoid sinusitis with orbital apex syndrome [J].
Chaudhary, Amit ;
Ramchand, Tekchand ;
Frohman, Larry P. ;
Liu, James K. ;
Eloy, Jean Anderson .
LARYNGOSCOPE, 2012, 122 (05) :970-972
[2]  
Devèze A, 2005, RHINOLOGY, V43, P152
[3]   Cavernous sinus thrombosis secondary to contralateral sphenoid sinusitis: a diagnostic challenge [J].
Eweiss, A. ;
Mukonoweshuro, W. ;
Khalil, H. S. .
JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2010, 124 (08) :928-930
[4]   Horner Syndrome as Complication of Acute Sphenoid Sinusitis [J].
Kacker, Christoph ;
Wagner, Franca ;
Caversaccio, Marco ;
Anschuetz, Lukas .
CASE REPORTS IN NEUROLOGY, 2019, 11 (01) :112-116
[5]   Clinical features and prognosis of Miller Fisher syndrome [J].
Mori, M ;
Kuwabara, S ;
Fukutake, T ;
Yuki, N ;
Hattori, T .
NEUROLOGY, 2001, 56 (08) :1104-1106
[6]   Usefulness of anti-GQ1b IgG antibody testing in Fisher syndrome compared with cerebrospinal fluid examination [J].
Nishimoto, Y ;
Odaka, M ;
Hirata, K ;
Yuki, N .
JOURNAL OF NEUROIMMUNOLOGY, 2004, 148 (1-2) :200-205
[7]   Treatment for Fisher syndrome, Bickerstaff's brainstem encephalitis and related disorders [J].
Overell, J. R. ;
Hsieh, S. T. ;
Odaka, M. ;
Yuki, N. ;
Willison, H. J. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2007, (01)
[8]   Quantifying the Association between Campylobacter Infection and Guillain-Barre Syndrome: A Systematic Review [J].
Poropatich, Kate O. ;
Walker, Christa L. Fischer ;
Black, Robert E. .
JOURNAL OF HEALTH POPULATION AND NUTRITION, 2010, 28 (06) :545-552
[9]  
Wakerley B. R, 2014, PRACT NEUROL, V15, P90
[10]   Guillain-Barre and Miller Fisher syndromes-new diagnostic classification [J].
Wakerley, Benjamin R. ;
Uncini, Antonino ;
Yuki, Nobuhiro .
NATURE REVIEWS NEUROLOGY, 2014, 10 (09) :537-544