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FILLERS: J Smith and B Henderson Bilateral Bell's phenomenon BMJ 2003; 0: 2100007 [Full text]

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Did you confirm the diagnosis by laboratory investigation in this middle-aged man

Dr Abdulfatai Kunle Kunle   (2 March 2004)

Did you confirm the diagnosis by laboratory investigation in this middle-aged man 2 March 2004
Dr Abdulfatai Kunle Kunle, Consultant Neurologist Department of Medicine.Federal Medical Centre,Yola.Adamawa State.Nigeria Send response to journal: Re: Did you confirm the diagnosis by laboratory investigation in this middle-aged man	I cannot agree with you more on the diagnosis of facial diplegia,but my worry is how or why you made such a diagnosis in a middle-aged man.From experience, I have obseved that most of my patients with Gullian-Barre syndrome were young,less than 40 to be specific.This man seems to have the Miller-Fisher varient of Gullian-Barre syndrome.Did you carry out lumber puncture to assess the dissociation between albumin and cell count? Competing interests: None declared