Recurrent Miller Fisher syndrome with vestibular involvement

Vermeersch, Gaëtan;Boschi, Antonella;Deggouj, Naïma;Van Pesch, Vincent;Sindic, Christian
(2011) European Journal of Neurology — Vol. 66, n° 4, p. 210-214 (2011)

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Authors
  • Vermeersch, GaëtanUCLouvain
    Author
  • Boschi, AntonellaUCLouvain
    Author
  • Deggouj, NaïmaUCLouvain
    Author
  • Author
  • Sindic, ChristianUCLouvain
    Author
Abstract
We describe a patient who had four relapses of Miller Fisher syndrome over a period of 20 years. The classical triad - ophthalmoparesis, ataxia and areflexia - was present during the first two attacks; ataxia was not observed during the third episode. The final recurrence was characterized by signs suggestive of a central involvement of the oculomotor pathways, subclinical slowing of the visual-evoked potentials, and peripheral vestibular hyporeactivity. Brain imaging was normal, but high levels of anti-GQ1b IgG antibodies were detectable during the second relapse and persisted after the fourth recurrence despite complete clinical recovery.
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Citations

Vermeersch, G., Boschi, A., Deggouj, N., Van Pesch, V., & Sindic, C. (2011). Recurrent Miller Fisher syndrome with vestibular involvement. European Journal of Neurology, 66(4), 210-214. https://doi.org/10.1159/000331486 (Original work published 2011)