Recurrent Miller Fisher syndrome.
Miller Fisher syndrome (MFS) is a variant of Guillan Barre syndrome characterized by the triad of ophthalmoplegia, ataxia and areflexia. Recurrences are exceptional with Miller Fisher syndrome. We are reporting a case with two episodes of MFS within two years. Initially he presented with partial ophthalmoplegia, ataxia. Second episode was characterized by full-blown presentation characterized by ataxia, areflexia and ophthalmoplegia. CSF analysis was typical during both episodes. Nerve conduction velocity study was fairly within normal limits. MRI of brain was within normal limits. He responded to symptomatic measures initially, then to steroids in the second episode. We are reporting the case due to its rarity.
Madhavan
S
S
Department of Medicine, Medical College, Calicut.
Geetha
Bhargavan
P V
PV
D000328:Adult; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D019846:Miller Fisher Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D018696:Neuroprotective Agents / Q000627:therapeutic use; D012008:Recurrence
D018696:Neuroprotective Agents; D008775:Methylprednisolone