[What is your diagnosis? Key-Gaskell syndrome]

The first case of Key-Gaskell syndrome in Switzerland has been described. The disease is mainly characterized by damaged autonomous ganglia. Lesions of the parasympathicus account for dry mucous membranes, mydriasis, paralysis of the bladder, megaesophagus and paralysis of the remaining gastrointestinal tract. Lesions of the sympathicus are explained by bradycardia and prolapse of the third eyelid. Until now the etiology of the disease is not known.