Involvement of the central nervous system in Miller Fisher syndrome: a case report.
Miller Fisher syndrome (MFS) is characterised by ophthalmoplegia, ataxia and areflexia. Reports on cerebellar ataxia and supranuclear oculomotor derangement in MFS suggested an additional involvement of the central nervous system (CNS), resembling Bickerstaff's brainstem encephalitis (BBE). In the present report, a patient with a monophasic acute illness, early recovery and specific clinical-laboratory findings suggested both intrinsic brainstem and peripheral nerve disease (MFS and BBE). In pons and medulla oblangata, blurred to discrete T2-lesions were revealed by cranial MRI, while involvement of peripheral nerves was detected with EMG. The CSF showed no increase in protein or cell content, such as occurs in brainstem encephalitis.
Tezer
F Irsel
FI
Department of Neurology, Hacettepe University Hospitals, 06100, Ankara, Turkey. firsel@turk.net
Gurer
Gunfer
G
Karatas
Hulya
H
Nurlu
Gulay
G
Saribas
Okay
O
D000208:Acute Disease; D001927:Brain Diseases / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008526:Medulla Oblongata / Q000473:pathology; D008875:Middle Aged; D019846:Miller Fisher Syndrome / Q000150:complications*; D010523:Peripheral Nervous System Diseases / Q000209:etiology / Q000473:pathology; D011149:Pons / Q000473:pathology