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Miller-Fisher syndrome and pontine abnormalities on MRI: a case report

✍ Scribed by M. Giroud; C. Mousson; J. M. Chalopin; G. Rifle; R. Dumas

Publisher
Springer
Year
1990
Tongue
English
Weight
371 KB
Volume
237
Category
Article
ISSN
0340-5354

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✦ Synopsis

The authors report a patient with Miller-Fisher syndrome in whom MRI of the brain stem showed increased signal density on T2 sequence anterior to the fourth ventricle, on the right and the left. The authors discuss the relation between these MRI abnormalities and some clinical features of the syndrome. The authors believe that the cardinal features of Miller-Fisher syndrome are due to peripheral nervous system dysfunction, but that this does not preclude a possible central nervous system involvement.

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## Abstract We studied a patient with ophthalmoparesis and pupillary areflexia 2 weeks after a viral syndrome. Miller Fisher syndrome was suspected but GQ1b antibodies were not detected. To define neuromuscular involvement we performed electrodiagnostic studies. Single‐fiber electromyography (SFEMG