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KMID : 0359720180360020100
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Journal of the Korean Neurological Association
2018 Volume.36 No. 2 p.100 ~ p.102
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Miller-Fisher Syndrome Presenting with Bilateral Pseudo-Internuclear Ophthalmoplegia
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Ha Sang-Hee
Yoon Tae-Hwan
Shin Yu-Yong
Lee Eun-Jae
Kim Bum-Joon
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Abstract
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Bilateral internuclear ophthalmoplegia (INO) refers to a specific gaze abnormality of bilateral adduction deficits, often accompanied by dissociated abducting nystagmus, caused by medial longitudinal fasciculus lesions usually due to multiple sclerosis or stroke. We report a 63-year-old man with clinical features of Miller-Fisher syndrome (MFS), consisting of ataxia, areflexia, and external ophthalmoplegia which mimicked bilateral-INO without an identifiable central lesion. Although bilateral adduction deficits are usually caused by central lesions, peripheral nervous damage by MFS is needed to be considered.
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KEYWORD
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Miller-Fisher syndrome, Ophthalmoplegia
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