Miller Fisher Syndrome - Ophthalmoplegia, Ptosis and Ataxia
Range of eye movements/motility abnormal; Miller Fisher Syndrome
Daniel R. Gold, DO, Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine, and Medicine, The Johns Hopkins School of Medicine
This is a young man who presented with ptosis, difficulty moving the eyes and gait imbalance several weeks after a GI illness. Miller Fisher syndrome was diagnosed, IVIG therapy was initiated, and anti-Gq1b antibodies came back extremely elevated. In addition to ophthalmoplegia, and ataxia, hyporeflexia was also present.
Spencer S. Eccles Health Sciences Library, University of Utah