title: Acute bilateral ophthalmoparesis with pupilary areflexical mydriasis in miller-fisher syndrome treated with intravenous immunoglobulin.
abstract: Miller-Fisher syndrome (MFS) is a rare condition characterized by the classical triad of ophthalmoplegia, ataxia, and areflexia (Fisher, 1956). It is considered a variant of Guillain-Barré syndrome (GBS) with which it may overlap, or it can occur in more limited forms. We report a case of a thirty-five-year-old male who presented with a six-day history of diplopia, following a recent chest infection. On examination, he was found to have bilateral sixth nerve palsy, bilateral fourth nerve palsy, bilateral areflexical mydriasis, ataxia and total absence of reflexes. After excluding other conditions, a diagnosis of Miller-Fisher syndrome was made. The patient was administered intravenous immunoglobulin and made an uneventful recovery.
authors.affiliation: Ophthalmology Department, Addenbrooke's Teaching Hospital, Hills Road, Cambridge CB2 0QQ, UK.
authors.forename: Theocharis
authors.initials: T
authors.lastname: Papanikolaou
authors.forename: Cath
authors.initials: C
authors.lastname: Gray
authors.forename: Bernard
authors.initials: B
authors.lastname: Boothman
authors.forename: Gerald
authors.initials: G
authors.lastname: Naylor
authors.forename: George
authors.initials: G
authors.lastname: Mariatos