A Variant of Miller-Fisher Syndrome: A Case Report

Crossmark: check for updates

Authors

  • Emily F. Campbell, DO West Virginia United (WVU) Health System,Wheeling Hospital,Wheeling,WV 26003, USA
  • Ramya Ramesh, MD West Virginia United (WVU) Health System,Wheeling Hospital,Wheeling,WV 26003, USA
  • Angelina Malic, MBBS [Student] Medical University of Gdańsk, Gdańsk 80-210, Poland
  • Sathyanarayana Machani, MD, FACP West Virginia United (WVU) Health System,Wheeling Hospital,Wheeling,WV 26003, USA

DOI:

https://doi.org/10.17140/NOJ-9-138

Keywords:

Case report; Miller Fisher syndrome; Guillain-Barré syndrome.

Abstract

This report describes the case of a patient who presented to the hospital with weakness, neuropathy, ataxia, and diplopia who
was found to meet the criteria for Miller-Fisher syndrome but had symptoms, physical exam findings, and lab results inconsistent with typical Miller-Fisher syndrome and suggestive of a potential variant who experienced only a partial response to typical
Guillain-Barré syndrome treatment.

References

Male E, Salameh J. Guillain-Barre syndrome. Semin Neurol. 2019; Submit your article to this journal | https://openventio.org/submit-manuscript/ Case Report | Volume 9 | Number 1 | Campbell EF, et al Roots Recruitment Pattern C8-T1 Reduced C8-T1 Reduced C7-T1 Reduced C6-C7 Reduced C5-C6 Normal C6-C8 Reduced C5-C6 Normal C7-C8 Reduced C5-C6 Normal 39(05): 589-595. doi: 10.1055/s-0039-1693005

Yepishin IV, Allison RZ, Kaminskas DA, Zagorski NM, Liow KK. Miller fisher syndrome: A case report highlighting heterogeneity of clinical features and focused differential diagnosis. Hawaii J Med Public Health. 2016; 75(7): 196-199.

Shahrizaila N, Lehmann H, Kuwabara S. Guillain-Barré syndrome. Lancet. 2021; 397: 1214-1228. doi: 10.1016/S0140- 6736(21)00517-1

Kamil K, Yazid DY, Idrus RBH, Das S, Kumar J. Peripheral demyelinating diseases: From biology to translational medicine. Front Neurol. 2019; 10: 87. doi: 10.3389/fneur.2019.00087

Verboon C, Doets AY, Galassi G, et al. Current treatment practice of Guillain-Barre syndrome. Neurology. 2019; 93(1): e59-e76. doi: 10.1212/WNL.0000000000007719

Chakraborty T, Kramer CL, Wijdicks EFM, Rabinstein AA. Dysautonomia in Guillain-Barre syndrome: Prevalence, clinical spectrum, and outcomes. Neurocrit Care. 2020; 32: 113-120. doi: 10.1007/s12028-019-00781-w

Bourque PR, Brooks J, Warman-Chardon J, Breiner A. Cerebrospinal fluid total protein in Guillain–Barré syndrome variants: Correlations with clinical category, severity, and electrophysiology. J Neurol. 2020; 267: 746-751. doi: 10.1007/ s00415-019-09634-0

Published

2023-06-19

How to Cite

Emily F. Campbell, DO, Ramya Ramesh, MD, Angelina Malic, MBBS [Student], & Sathyanarayana Machani, MD, FACP. (2023). A Variant of Miller-Fisher Syndrome: A Case Report. Neuro, 9(1), 1–3. https://doi.org/10.17140/NOJ-9-138

Issue

Section

Articles