Miller Fisher syndrome in systemic lupus erythematosus.
We describe the first case of Miller Fisher syndrome, a Guillain Barré variant, complicating systemic lupus erythematosus. The symptoms and signs mimicked a brainstem syndrome. Despite treatment with high dose gamma globulin, our patient worsened and required mechanical ventilation. After plasma exchange, the patient improved.
Hess
D C
DC
Department of Neurology, Medical College of Georgia, Augusta 30912.
Awad
E
E
Posas
H
H
Sethi
K D
KD
Adams
R J
RJ
D000328:Adult; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D009431:Neural Conduction; D010951:Plasma Exchange; D011129:Polyradiculoneuropathy / Q000209:etiology*; D012121:Respiration, Artificial