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Updated: May 8, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
A rare case of complete bilateral ophthalmoplegia and ptosis
Daniel John Hall1, Talal Bazaraa
1Medicine, Calderdale and Huddersfield NHS Foundation Trust, Calderdale Royal Hospital Salterhebble, Halifax, West Yorkshire HX30PW, UK.
Abstract:
We describe the case of an 85-year-old gentleman admitted with bilateral ptosis and complete bilateral ocular paralysis. Initial differential diagnoses included myasthenia gravis, diabetic cranial neuropathy, an ischaemic event and possible occult neoplasm. Investigations did not support any of the differentials and Miller Fisher syndrome (MFS) was considered. Anti-GQ1b IgG antibody was positive, supporting the possibility of anti-ganglioside syndrome. This gentleman was treated with intravenous immunoglobulin (IVIG) and made a full recovery.
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