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Overlap of Miller-Fisher Syndrome and Pharyngeal-Cervical-Brachial Variant Secondary to COVID-19 in Recurrent Guillain-Barré Syndrome: A Case Report.
Cureus
December 2024
Internal Medicine, Leicester Royal Infirmary, Leicester, GBR.
Miller-Fisher syndrome (MFS) is characterized by the three major components of ophthalmoplegia, ataxia, and areflexia. The occurrence of MFS is relatively uncommon because of its monophasic nature, while recurrent Guillain-Barré syndrome (GBS) is a well-known condition. The pharyngeal-cervical-brachial (PCB) variant is a scarce variant of GBS (3%), which presents with muscle weakness initially involving the neck, oropharynx, and upper extremities.
View Article and Find Full Text PDFOcular findings in neurosyphilis: a retrospective study from 2012 to 2022.
Front Neurol
November 2024
Department of Ophthalmology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Purpose: This study aimed to investigate ocular manifestations in patients with neurosyphilis and their association with general indexes.
Methods: This retrospective study was conducted among patients who were hospitalized for neurosyphilis from 2012 to 2022. Clinical manifestations, laboratory tests, brain MRI, and ocular examinations were reviewed and analyzed.
Trigemino-abducens synkinesis: serial review over 4 years.
J AAPOS
December 2024
Department of Ophthalmology, Gold Coast University Hospital, Gold Coast, Queensland; School of Medicine, Bond University, Gold Coast, Queensland, New Zealand.
Congenital cranial dysinnervation disorders involve abberant connections between cranial nerves, often resulting in synkinetic activation of target muscles. Marcus-Gunn jaw winking ptosis and Duane retraction syndrome are some of the more well-known examples of this phenomenon. We present serial video of a child with congenital trigemino-abducens synkinesis, a lesser known congenital cranial dysinnervation disorder, to demonstrate the characteristics of this likely under-diagnosed presentation.
View Article and Find Full Text PDFAnti-galactocerebroside Antibody-Associated Bickerstaff's Brainstem Encephalitis With Dysautonomia: A Case Report and a Review of Associated Central Nervous System Diseases.
Cureus
September 2024
Department of Neurology, Tokyo Metropolitan Neurological Hospital, Tokyo, JPN.
A 68-year-old man developed diplopia, unsteady walking, and bladder and bowel dysfunction followed by consciousness disturbance within four weeks. On physical examination, consciousness disturbance, bilateral ptosis, ophthalmoplegia, disappearing of doll's eye phenomenon, dysarthria, and diminished deep tendon reflexes were observed. Cerebrospinal fluid (CSF) examination showed oligoclonal bands.
View Article and Find Full Text PDF[Prevalence of Bell's phenomenon and changes after surgery for aponeurotic ptosis].
J Fr Ophtalmol
November 2024
Service d'ophtalmologie, hôpital Pasteur 2, centre hospitalier universitaire de Nice, université Côte d'Azur, 30, voie Romaine, CS 51069, 06001 Nice cedex, France. Electronic address:
Background: Ptosis surgery is common in oculoplastics, and its most threatening complication is corneal ulceration. Several factors have been associated with postoperative corneal disorders, such as the strength of the orbicularis muscle, the type of surgery performed, and the Bell's phenomenon reflex (BPR). The goal of this study was to investigate the prevalence of physiological BPR, absence of BPR, and presence of inverse BP in patients undergoing surgery for aponeurotic ptosis.
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