A healthy 76-year-old man, ten days prior, presented with a respiratory infection and diarrhea. Three days later he developed dysarthria, ptosis, dysphagia and ataxia.
On examination she had dysarthria, mydriasis with decreased FMR, bilateral palsy, facial biparesis, velopalatal paresis, abolished ORT, dysmetria and ataxia.
We studied normal brain MRI, EMG with generalized polymyelinating polyneuropathy, without detachment in CSF and positive anti-GQ1b antibodies in serum.
And dysautonomia.
The diagnosis was FMS.
She received IVIG and at the 6th month she presented bilateral mydriasis, mild lateral rectus paresis and decreased OTR.
