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KMID : 1044320190210010053
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Annals of Clinical Neurophysiology
2019 Volume.21 No. 1 p.53 ~ p.56
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Miller Fisher syndrome mimicking Wernicke encephalopathy during pregnancy
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Seo Jung-Hwa
Kang Mi-Ri
Yoon Byeol-A
Ji Ki-Hwan
Oh Seong-Il
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Abstract
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Miller Fisher syndrome (MFS) is characterized by ataxia, areflexia, and ophthalmoparesis. Here we present a case of MFS mimicking Wernicke encephalopathy (WE) during pregnancy. A 31-year-old woman at 8 weeks of gestation presented with diplopia and ataxia after experiencing nausea and vomiting for several weeks. We initiated thiamine based on a suspicion of WE, which produced no clear effects. However, her symptoms began to improve following intravenous immunoglobulin treatment, and other findings finally lead to a diagnosis of MFS. Because ataxia and ophthalmoparesis can be misdiagnosed as WE during pregnancy, clinicians should consider MFS in the differential diagnosis.
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KEYWORD
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Miller Fisher syndrome, Pregnancy, Wernicke encephalopathy
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