Atypical Miller Fisher Syndrome with Anisocoria and Rapidly Fluctuating Pupillary Diameter
المؤلفون المشاركون
المصدر
Case Reports in Neurological Medicine
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-2، 2ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-08-24
دولة النشر
مصر
عدد الصفحات
2
التخصصات الرئيسية
الملخص EN
Miller Fisher syndrome is a variant of Guillain-Barre syndrome characterized by the classic triad of ophthalmoplegia, ataxia, and areflexia.
Pupillary involvement is common in MFS and has been reported in 35–42% of MFS patients.
Although case reports have discussed isolated ophthalmoplegia as a presentation of MFS, anisocoria and rapid fluctuation of pupillary diameter have not been reported in anti-GQ1b antibody positive individuals.
Here we describe an individual who presented with diplopia and was found to have progressive internal and external ophthalmoplegia with frequent fluctuations in pupillary diameter and anisocoria.
These exam findings are not commonly described even in atypical presentations of MFS.
The onset of symptoms was preceded by an upper respiratory infection but no gastrointestinal symptoms.
Imaging and CSF studies were unremarkable; however serum levels of immunoglobulin G anti-GQ1b antibody and anti-GAD antibody were elevated confirming the diagnosis of MFS.
The patient was treated with IVIG and intravenous steroids with mild resolution of external ophthalmoplegia.
He did not go on to develop more typical features of MFS such as ataxia or areflexia.
This demonstrates that isolated external and internal ophthalmoparesis with rapidly fluctuating pupillary diameter and associated anisocoria can be the sole manifestation of atypical MFS.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Gupta, Garima& Liu, Antonio K.. 2015. Atypical Miller Fisher Syndrome with Anisocoria and Rapidly Fluctuating Pupillary Diameter. Case Reports in Neurological Medicine،Vol. 2015, no. 2015, pp.1-2.
https://search.emarefa.net/detail/BIM-1059032
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Gupta, Garima& Liu, Antonio K.. Atypical Miller Fisher Syndrome with Anisocoria and Rapidly Fluctuating Pupillary Diameter. Case Reports in Neurological Medicine No. 2015 (2015), pp.1-2.
https://search.emarefa.net/detail/BIM-1059032
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Gupta, Garima& Liu, Antonio K.. Atypical Miller Fisher Syndrome with Anisocoria and Rapidly Fluctuating Pupillary Diameter. Case Reports in Neurological Medicine. 2015. Vol. 2015, no. 2015, pp.1-2.
https://search.emarefa.net/detail/BIM-1059032
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1059032
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر