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Sensory nerves are frequently involved in the spectrum of fisher syndrome
Author(s) -
Shahrizaila Nortina,
Goh Khean J.,
Kokubun Norito,
Tan Ai H.,
Tan Cheng Y.,
Yuki Nobuhiro
Publication year - 2014
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.23973
Subject(s) - guillain barre syndrome , medicine , sensory nerve , nerve conduction , sensory system , pathology , neuroscience , pediatrics , psychology
: Differing patterns of neurophysiological abnormalities have been reported in patients with Fisher syndrome. Fisher syndrome is rare, and few series have incorporated prospective serial studies to define the natural history of nerve conduction studies in Guillain–Barré syndrome. Methods : In an ongoing prospective study of Guillain–Barré syndrome patients, patients who presented with Fisher syndrome and its spectrum of illness were assessed through serial neurological examinations, nerve conduction studies, and serological testing of IgG against gangliosides and ganglioside complexes. Results : Of the 36 Guillain–Barré syndrome patients identified within 2 years, 17 had features of Fisher syndrome. Serial nerve conduction studies detected significant abnormalities in sensory nerve action potential amplitude in 94% of patients associated with 2 patterns of recovery—non‐demyelinating reversible distal conduction failure and axonal regeneration. Similar changes were seen in motor nerves of 5 patients. Conclusions : Patients with the Fisher syndrome spectrum of illness have significant sensory involvement, which may only be evident with serial neurophysiological studies. Muscle Nerve 49:558–563, 2014