[Miller Fisher's syndrome. Clinical and experimental contribution].
A 19-year-old patient with acute idiopathic polyneuritis is described. Clinically, apart from ophthalmoplegia, areflexia and ataxia, the patient presented a serious bilateral and symmetrical deficiency of the VII-IX-X cranial nerve and hypanapallesthesia of trunk and extremities. Liquor examination showed albumino-cytological dissociation with an increase in liquor IgG; encephalic CT and encephalo-medullary NMR were normal; a neurophysiological study (EMG, PEV, BAER) was indicative of the PNS problems. Combined corticosteroid and plasmaferesis treatment produced complete clinical remission after about 3 months. The primary role of PNS involvement in this clinical entity is discussed.
Divisione di Neurologia, Ospedale Mauriziano Umberto I, Torino.
F
F
Trebini
A
A
Appiotti
G
G
Scarzella
D000208:Acute Disease; D000328:Adult; D001259:Ataxia / Q000175:diagnosis*; D003389:Cranial Nerve Diseases / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009443:Neuritis / Q000175:diagnosis*; D009886:Ophthalmoplegia / Q000175:diagnosis*; D013577:Syndrome
La sindrome di Miller Fisher. Contributo clinico e strumentale.