J Korean Neurol Assoc.  2015 Aug;33(3):196-200. 10.17340/jkna.2015.3.11.

Acute-Onset Chronic Inflammatory Demyelinating Polyradiculoneuropathy Mimicking Miller-Fisher Syndrome

• Baek HS
• Bin CH
• Park MS

• KMID: 2184603
• DOI: http://doi.org/10.17340/jkna.2015.3.11

Abstract

A 77-year-old man developed diplopia, gait ataxia, and paresthesia. A clinical examination also revealed ophthalmoplegia, facial palsy, ataxia of the limbs and trunk, and reduced deep tender reflexes. Laboratory and electrophysiological studies revealed albuminocytological dissociation and demyelination. He was diagnosed as Miller-Fisher syndrome and received intravenous immunoglobulin therapy. His clinical symptoms deteriorated at 12 weeks after onset. We diagnosed acute-onset chronic inflammatory demyelinating polyradiculoneuropathy, and which the patient recovered from following corticosteroid therapy.

Keyword

Chronic inflammatory demyelinating polyradiculoneuropathy; Miller-Fisher syndrome; Guillain-Barre syndrome

MeSH Terms

Aged
Ataxia
Demyelinating Diseases
Diplopia
Extremities
Facial Paralysis
Gait Ataxia
Guillain-Barre Syndrome
Humans
Immunization, Passive
Miller Fisher Syndrome*
Ophthalmoplegia
Paresthesia
Polyradiculoneuropathy, Chronic Inflammatory Demyelinating*
Reflex