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| Year : 2002 | Volume
: 50
| Issue : 3 | Page : 365--7 |
Recurrent Miller fisher syndrome : a case report.
S Sitajayalakshmi, R Borgohain, J Mani, S Mohandas
Department of Neurology, Nizam Institute of Medical Sciences, Punjagutta, Andhra pradesh, 500082, India., India
Correspondence Address:
S Sitajayalakshmi
Department of Neurology, Nizam Institute of Medical Sciences, Punjagutta, Andhra pradesh, 500082, India.
India
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 12391472 
Miller fisher syndrome (MFS) is a variant of Guillain-Barre syndrome characterized by the triad of ophthalmoplegia, ataxia and areflexia. Recurrences are exceptional with MFS. A case with two episodes of MFS within four years is reported. He presented with findings of ophthalmoplegia, ataxia, areflexia, and oropharyngeal weakness and mild distal sensory impairment during both episodes. Electrophysiological findings showed reduced compound muscle action potentials and sensory nerve action potentials with no evidence of conduction blocks. Nerve biopsy showed segmental demyelination. MRI of brain was normal. He responded well to immunoglobulins during both episodes suggesting that immunomodulating drugs have a role in the treatment of MFS.
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