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[Case of Fisher syndrome with impairment of taste].

Abstract
A 38-year-old man developed dysesthesia, diplopia, and an unsteady gait following an upper respiratory infection. IgG anti-GQ1b antibody was detected in his serum and he was diagnosed as Fisher syndrome. The patient also complained of loss of taste sensation, and it resolved along with improvement of other neurological manifestations. In Guillain-Barré syndrome, cranial nerve involvement is very common, though taste disturbance is a rare complaint. Impairment of taste has been reported in association with severe facial nerve involvement, but taste disturbance developed without facial nerve palsy in the present case and taste sensation was diminished in the area of all four nerves involved in taste sensation. These findings suggest that the impaired taste sensation in the present patient was not a complication of facial nerve palsy as in previous cases, but rather due to taste sensory specific involvement.
AuthorsAyumi Uchibori, Tetsuro Kashiwagi, Sousuke Takeuchi, Atsuro Chiba, Manabu Sakuta
JournalRinsho shinkeigaku = Clinical neurology (Rinsho Shinkeigaku) Vol. 46 Issue 4 Pg. 281-4 (Apr 2006) ISSN: 0009-918X [Print] Japan
PMID16768097 (Publication Type: Case Reports, English Abstract, Journal Article, Review)
Chemical References
  • Immunoglobulins, Intravenous
Topics
  • Adult
  • Glossopharyngeal Nerve Diseases (diagnosis, drug therapy, etiology)
  • Humans
  • Immunoglobulins, Intravenous (administration & dosage)
  • Male
  • Miller Fisher Syndrome (complications, diagnosis, drug therapy)
  • Treatment Outcome

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