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KMID : 0860920040060010067
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2004 Volume.6 No. 1 p.67 ~ p.70
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A Case of Miller Fisher Syndrome Showing Axonal Polyneuropathy in Electrodiagnostic Test
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Sohn Min-Kyun
Kim Bong-Ok
Jun Kyung-Jin
Kim Sang-Soo
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Abstract
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Miller Fisher syndrome is clinically characterized by the triad of gait ataxia, external ophthalmoplegia and areflexia. A six-tear-old girl developwd ophthalmoplegia and mydriasis after a febrile flu-like illness. She had additional symptoms of dysphgia, bulbar palsy, ataxia, areflexia and weakness of extrrmities. She was unable to maintain an upright posture, nor able showed mild albimino-cytologic dissociation and electrodiagnostix study revealed a predominantly motor axonal peripheral polyneuropathy including both facial nerves. She was placed on a high dose of intravenous immunoglobulin and comprehensive rehavilitation treatment which resulted on a complete recovery in 6 month. This is a case of Miller Fisher syndrom which presented atypically severe weakness of extremities in clinically and generalized motor axnal polyneuropathy in electrodiagnodtically.
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KEYWORD
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Miller Fisher Syndrome, Total ophthalmoplegia, Axonal Neutopathy
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