title: Postvaccination Miller Fisher syndrome.
abstract: BACKGROUND
  Although postvaccination Guillain-Barré syndrome is commonly reported, there have only been 2 previously reported cases of postvaccination Miller Fisher syndrome, and none in association with the novel influenza A(H1N1) vaccine.
  
  
  OBJECTIVE
  To describe a case of Miller Fisher syndrome following receipt of the seasonal influenza and novel influenza A(H1N1) vaccine.
  
  
  METHODS
  Case report and literature review.
  
  
  METHODS
  Vancouver General Hospital.
  
  
  METHODS
  A 77-year-old Chinese woman.
  
  
  RESULTS
  The patient presented with ophthalmoplegia, ataxia, areflexia, and a sensory neuropathy within 2 weeks of immunization. Findings of parainfectious evaluation were unremarkable. Treatment with 2 courses of intravenous immunoglobulin led to clinical improvement. Her presentation and natural history of disease were similar to the 2 previously published cases.
  
  
  CONCLUSIONS
  We present the third case of postvaccination Miller Fisher syndrome in the literature and the first associated with the novel influenza A(H1N1) vaccine.
authors: Department of Medicine and Neurology, University of British Columbia, Vancouver, Canada. ashkan.sho@gmail.com
authors: Ashkan
authors: A
authors: Shoamanesh
authors: Kristine
authors: K
authors: Chapman
authors: Anthony
authors: A
authors: Traboulsee
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007252:Influenza Vaccines / Q000009:adverse effects*; D007251:Influenza, Human / Q000517:prevention & control; D019846:Miller Fisher Syndrome / Q000209:etiology* / Q000276:immunology*
chemical_list: D007252:Influenza Vaccines