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Case Reports
. 2022 Jun 22;14(6):e26192.
doi: 10.7759/cureus.26192. eCollection 2022 Jun.

Recurrent Miller Fisher Syndrome

Say Ting Ooi  1   2 , Ameilia Ahmad  2 , Azhany Yaakub  1
Affiliations
Case Reports

Recurrent Miller Fisher Syndrome

Say Ting Ooi et al. Cureus. .

Abstract

Miller Fisher syndrome (MFS) is an uncommon systemic autoimmune condition. Recurrent Miller Fisher syndrome is extremely rare. We want to highlight a rare case of recurrent Miller Fisher syndrome, which manifested as external and internal ophthalmoplegia, areflexia, and ataxia following an episode of upper respiratory tract infection (URTI). The patient developed a recurrent attack of Miller Fisher syndrome two months later with only internal and external ophthalmoplegia symptoms. Both episodes wholly resolved in a month without treatment. Miller Fisher syndrome can mimic various other neurological illnesses. Therefore, diagnosing this disease is often challenging. However, prompt diagnosis and management can be achieved with awareness of this rare illness.

Keywords: areflexia; ataxia; guillain-barré syndrome; miller fisher syndrome; ophthalmoplegia.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Bilateral external ophthalmoplegia with variable weakness on all gazes.
Figure 2
Figure 2. Bilateral internal ophthalmoplegia with dilated pupil.
Figure 3
Figure 3. Complete recovery of external ophthalmoplegia.
Figure 4
Figure 4. Complete recovery of internal ophthalmoplegia.
See this image and copyright information in PMC

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