Miller Fisher syndrome: a rare variant of Guillain-Barré syndrome
Luciana Pinto Bandeira; Luize Giuri Palaoro; Jairo Degenszajn
http://dx.doi.org/10.4322/acr.2012.027
Autops Case Rep, vol.2, n3, p.57-61, 2012
Abstract
This report describes the case of a 39-year-old male patient who presented to the emergency room with complaints of impaired balance, diplopia, and nasal voice. The patient had a history of upper respiratory tract infection. The initial physical examination revealed ataxia, ophthalmoplegia, and areflexia, which are consistent with the classic triad of Miller Fisher syndrome, considered a benign variant of Guillain-Barré syndrome. The patient developed peripheral facial paralysis during hospitalization. He underwent a treatment with immunoglobulin for five days, resulting in near complete resolution of the ataxia. However, the ophthalmoplegia and areflexia persisted. He was discharged to outpatient follow-up.
Keywords
Miller Fisher syndrome, Ataxia, Ophthalmoplegia, GQ1b ganglioside [Supplementary concept], Facial nerve.
Publication date:
01/13/2016