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KMID : 0861220110130010051
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Journal of the Korean Society Clinical Neurophysiology
2011 Volume.13 No. 1 p.51 ~ p.53
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Bilateral Sixth Nerve Palsies as the Sole Manifestation of Atypical Miller-Fisher Syndrome
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Nho Sang-Woo
Kim Jong-Kuk
Park Hwan-Seok
Chung Eun-Joo
Kim Sang-Jin
Kim Eung-Gyu
Bae Jong-Seok
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Abstract
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Recently, we encountered a man with isolated bilateral sixth nerve palsies and areflexia whose titer of anti-GQ1b IgG antibody was elevated. We propose that bilateral sixth nerve palsies can be the sole manifestation of “anti-GQ1b antibody syndromes” and that patients with isolated bilateral sixth nerve palsies should be administered an anti-GQ1b antibody test for the diagnosis of acute immune-related neuropathy.
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KEYWORD
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Miller-Fisher syndrome, GQ1b ganglioside, Abducens nerve
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