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1 Miller Fisher Syndrome - Ophthalmoplegia and HyperreflexiaThis is a 45-yo-woman who presented with mild imbalance and diplopia. There had been a preceding viral illness several weeks prior. Examination demonstrated horizontal gaze paresis (sparing unilateral adduction), mild gait ataxia (no clear appendicular ataxia), and hyperreflexia. Pupils were sluggis...Range of eye movements/motility abnormal; Horizontal gaze palsy; Miller Fisher Syndrome
2 Miller Fisher Syndrome - Ophthalmoplegia, Ptosis and AtaxiaThis 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, hyporefl...Range of eye movements/motility abnormal; Miller Fisher Syndrome
3 Neuro-ophthalmic features and pseudo-MG lid signs in Miller Fisher syndromeThis is a 51-year-old woman who presented with imbalance, acute onset dizziness and diplopia that developed over three days following two weeks of upper respiratory infection and bacterial conjunctivitis. When she was initially seen as an outpatient, nystagmus was noted to the right and left, and a ...Abnormal VOR, Miller Fisher Syndrome, Myasthenia Gravis, Acute Vestibular Syndrome, Jerk Nystagmus, Gaze Evoked Nystagmus
4 Neuro-ophthalmic features and pseudo-MG lid signs in Miller Fisher syndrome - Figure 1This is a 51-year-old woman who presented with imbalance, acute onset dizziness and diplopia that developed over three days following two weeks of upper respiratory infection and bacterial conjunctivitis. When she was initially seen as an outpatient, nystagmus was noted to the right and left, and a ...Abnormal VOR, Miller Fisher Syndrome, Myasthenia Gravis, Acute Vestibular Syndrome, Jerk Nystagmus, Gaze Evoked Nystagmus
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