{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T23:28:43Z","timestamp":1784330923717,"version":"3.55.0"},"reference-count":11,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,30]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Miller Fisher syndrome (MFS), an acute demyelinating neuropathy, is characterised by a triad of areflexia, ataxia and ophthalmoplegia. It is the most common variant of Guillain-Barre Syndrome (GBS). In about 5.6%\u20137.1% of MFS cases, patients also suffer from progressive motor weakness of the limbs. This condition is termed MFS\/GBS overlap syndrome. Whether it is in MFS or GBS, bilateral vocal cord paralysis (BVCP) is a rare manifestation with limited cases reported in the literature. We report an extremely rare case where a 65-year-old man developed BVCP in an MFS\/GBS overlap syndrome. We have also reviewed previous case reports in the literature for comparison.<\/jats:p>","DOI":"10.1136\/bcr-2020-240386","type":"journal-article","created":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T12:39:02Z","timestamp":1611751142000},"page":"e240386","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Bilateral vocal cord paralysis in Miller Fisher syndrome\/Guillain-Barre overlap syndrome and a review of previous case series"],"prefix":"10.1136","volume":"14","author":[{"given":"Jeeyune","family":"Bahk","sequence":"first","affiliation":[{"name":"Internal Medicine, Mount Sinai Health System, New York City, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanding","family":"Yang","sequence":"additional","affiliation":[{"name":"ENT and Head and Neck, University College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Fishman","sequence":"additional","affiliation":[{"name":"ENT and Head and Neck, Royal National Throat Nose and Ear Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,1,27]]},"reference":[{"key":"2025082623060568000_14.1.e240386.1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1056\/NEJM195607122550201","article-title":"An unusual variant of acute idiopathic polyneuritis (syndrome of ophthalmoplegia, ataxia and areflexia)","volume":"255","author":"Fisher","year":"1956","journal-title":"N Engl J Med Overseas Ed"},{"key":"2025082623060568000_14.1.e240386.2","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1097\/MEJ.0b013e3280bef955","article-title":"Miller Fisher variant syndrome, an unusual and severe clinical presentation: a case 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