Letter to editor: Dysgeusia as an initial manifestation of Miller-Fisher syndrome

R. Joao, Aless, R. Colombi, F. A. Rocha, Bruna Pinotti Ferreira Leite, R. V. D. Azevedo, Marcelo Lucci Mussi, J. E. Ferri-de-Barros
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Abstract

Submit Manuscript | http://medcraveonline.com clinical exam was normal and her objective neurological exam was as follows: Alert and oriented to time, person and place; normal intrinsic and extrinsic ocular motility; mild bilateral facial palsy characterized by difficulty in blowing and showing teeth and eyebrow elevation in both sides; bilateral dysgeusia of the two anterior thirds of the tongue; bilateral hyperacusis; predominantly axial ataxia; global hyporeflexia (1+); flaccid tetraparesis (strength grade III in upper limbs and grade II in lower limbs). Her sensory and hearing exams showed no abnormalities. The first cerebrospinal fluid was normal.
致编辑的信:诵读困难是米勒-费雪综合征的最初表现
投稿| http://medcraveonline.com临床检查正常,客观神经学检查如下:机警,对时间、人、地点有方向性;正常的内、外眼动;轻度双侧面瘫,以吹气困难、露齿困难、两侧眉抬高为特征;舌前三分之二的双侧发音困难;双边听觉过敏;主要是轴性共济失调;全身性反射低下(1+);弛缓性四肢全瘫(上肢强度III级,下肢强度II级)。她的感觉和听力检查没有异常。第一次脑脊液检查正常
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