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KMID : 0391520100180020311
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Journal of the Korean Child Neurology Society
2010 Volume.18 No. 2 p.311 ~ p.316
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A Case of Atypical Miller-Fisher Syndrome with Internal Carotid Artery Stenosis
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Jin Ji-Hoon
Choi Eun-Hye
Cho Sung-Dae
Son Byong-Kwan
Kang Sung-Mo
Kwon Young-Se
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Abstract
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Miller-Fisher syndrome is an acute poly-neuropathy typically characterized by the triad of ophthalmoplegia, ataxia, and areflexia. Other poly-neuropathy diseases include Guillain-Barre syndrome and Bickerstaff brainstem encephalitis. However, not all cases of Miller-Fisher syndrome have the typical three symptoms. These diseases have been differentiated by clinical manifestations and anti-GQ1b IgG antibody testing. In Miller-Fisher syndrome, anti-GQ1b IgG antibody is present in over 95% of patients; however, the frequency is not so high in normal subjects or in those with other poly-neuropathy diseases. Infectious illnesses, such as respiratory diseases and gastrointestinal diseases, usually precede Miller-Fisher syndrome. In general, Miller-Fisher syndrome is a self-limiting illness; however, a few cases of Miller-Fisher syndrome progressing to respiratory failure have been reported, particularly in children. In this case, we report abnormal angiographic findings. We report a case of atypical Miller-Fisher syndrome with internal carotid artery stenosis treated with prednisolone.
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KEYWORD
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Miller Fisher Syndrome, Polyneuropathies, Child, Vascular stenosis
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