Miller Fisher Variant of Guillain-Barré Syndrome: A Case Report & Clinical Review

Authors

  • Partha Pratim Das Assistant Professor, Department of Medicine, Dhaka Medical College, Dhaka
  • Sarmistha Biswash Assistant Professor, Department of Medicine, Dhaka Medical College, Dhaka
  • Md. Enamul Karim Professor, Department of Medicine, Dhaka Medical College, Dhaka
  • Nigar Sultana Ahmed Assistant Registrar, Department of Medicine, Dhaka Medical College, Dhaka
  • Badrul Islam PHD Student, Erasmus MC, Dhaka
  • Shekhar Kumar Mandal Medical Officer, Department of Medicine, Dhaka Medical College, Dhaka
  • Abu Hena Md. Raihanuzzaman Sarkar Medical Officer, Department of Medicine, Dhaka Medical College, Dhaka

DOI:

https://doi.org/10.3329/bsmmuj.v5i1.11028

Keywords:

Abnormal reflex, areflexia, ataxia, Guillain-Barré syndrome, ophthalmoplegia, Nerve Conduction Velocity (NCV)

Abstract

Miller Fisher syndrome (MFS) is an uncommon variant of Guillain-Barré syndrome (GBS). It is characterized by external ophthalmoplegia, ataxia, and areflexia. The incidence of MFS as a proportion of GBS was reported to be 1 to 5 % in western countries and considerably higher in Eastern Asia i.e. 19% in Taiwan and 25% in Japan. Here we report the clinical features of a patient who initially presented with ataxia then subsequently developed limb weakness, areflexia and ophthalmoplegia. CSF study and NCV study supported our clinical diagnosis. Patient was managed conservatively. No intravenous immunoglobulin was given but the patient gradually improved in symptoms including power, ataxia, ophthalmoparesis. After one month the patient was discharged from hospital with complete recovery.

DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.11028

BSMMU J 2012; 5(1):69-71

 

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Published

2012-06-29

How to Cite

Das, P. P., Biswash, S., Karim, M. E., Ahmed, N. S., Islam, B., Mandal, S. K., & Sarkar, A. H. M. R. (2012). Miller Fisher Variant of Guillain-Barré Syndrome: A Case Report & Clinical Review. Bangabandhu Sheikh Mujib Medical University Journal, 5(1), 69–71. https://doi.org/10.3329/bsmmuj.v5i1.11028

Issue

Section

Case Reports