Miller Fisher syndrome: a rare variant of Guillain-Barré syndrome

Authors

  • Luciana Pinto Bandeira Department of Internal Medicine – Hospital das Clínicas – Faculdade de Medicina – Universidade de São Paulo
  • Luize Giuri Palaoro Department of Internal Medicine – Hospital das Clínicas – Faculdade de Medicina – Universidade de São Paulo
  • Jairo Degenszajn Department of Internal Medicine – Hospital Universitário – Universidade de São Paulo

DOI:

https://doi.org/10.4322/acr.%25y.48234

Keywords:

Miller Fisher syndrome, Ataxia, Ophthalmoplegia, GQ1b ganglioside [Supplementary concept], Facial nerve.

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.

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Published

2012-09-09

Issue

Vol. 2 No. 3 (2012)

Section

Article / Clinical Case Report

License

Authors of articles published by Autopsy and Case Report retain the copyright of their work without restrictions, licensing it under the Creative Commons Attribution License - CC-BY, which allows articles to be re-used and re-distributed without restriction, as long as the original work is correctly cited.

How to Cite

Bandeira, L. P., Palaoro, L. G., & Degenszajn, J. (2012). Miller Fisher syndrome: a rare variant of Guillain-Barré syndrome. Autopsy and Case Reports, 2(3). https://doi.org/10.4322/acr.%y.48234