A new lease of life was gifted to Mrs. Anisha Limbu, aged 60 years, hailing from Mirick. She was admitted in Neotia Getwel Multispecialty Hospital with paralysis of all her four limbs along with difficulty in swallowing and speaking with paralysis of eye movements on 13/04/16.
Dr. Joydeep Dey, Senior consultant neurologist diagnosed this to be a disease of nerves known as Miller Fischer Syndrome- A variant of GBS. Guillain–Barré syndrome is rare, with one to two cases per 100,000 people diagnosed every year. These types of patients often require prolonged ventilator support due to nerve paralysis. The disease is characterized by abnormal muscle coordination, paralysis of the eye muscles, and absence of the jerks.
Dr. Dey says that MFS (Miller Fischer syndrome), begins to develop rapidly when the said symptoms become visible– (1) Weak eye muscle with double vision or blurred vision, drooping eyelids with facial weakness (2) Poor balance during walking (3) Loss of reflexes, slurred speech, difficulty swallowing and abnormal facial expression with inability to smile or whistle are other usual complaints. Dr. Joydeep Dey states that MFS symptoms are often confused with brain stroke.
Dr. Dey explained that the cause of Fischer syndrome is idiopathic. The problems in the nerves are likely due to the loss of a fat rich insulating material called myelin around nerves. Preceding nerve paralysis often (Viral illness, diarrhea) stimulates production of antibody that reacts to both the infection organism and peripheral nerves causing loss of coating (myelin) around nerves leading to loss of function of the nerve states Dr. Joydeep Dey.
The patient improved dramatically with treatment & care and can now walk without support, can swallow, speak and was finally discharged on 6/05/2016.