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Acute bilateral ophthalmoparesis with pupilary areflexical mydriasis in miller-fisher syndrome treated with intravenous immunoglobulin.
MedLine Citation:
PMID:  20871658     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Miller-Fisher syndrome (MFS) is a rare condition characterized by the classical triad of ophthalmoplegia, ataxia, and areflexia (Fisher, 1956). It is considered a variant of Guillain-Barré syndrome (GBS) with which it may overlap, or it can occur in more limited forms. We report a case of a thirty-five-year-old male who presented with a six-day history of diplopia, following a recent chest infection. On examination, he was found to have bilateral sixth nerve palsy, bilateral fourth nerve palsy, bilateral areflexical mydriasis, ataxia and total absence of reflexes. After excluding other conditions, a diagnosis of Miller-Fisher syndrome was made. The patient was administered intravenous immunoglobulin and made an uneventful recovery.
Authors:
Theocharis Papanikolaou; Cath Gray; Bernard Boothman; Gerald Naylor; George Mariatos
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Publication Detail:
Type:  Journal Article     Date:  2010-09-01
Journal Detail:
Title:  Journal of ophthalmology     Volume:  2010     ISSN:  2090-0058     ISO Abbreviation:  J Ophthalmol     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101524199     Medline TA:  J Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  -    
Affiliation:
Ophthalmology Department, Addenbrooke's Teaching Hospital, Hills Road, Cambridge CB2 0QQ, UK.
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