Res Vestib Sci.
2025 Mar;24(1):46-49. 10.21790/rvs.2024.028.
Miller Fisher syndrome initially presented as bilateral internuclear ophthalmoplegia: a case report
- Affiliations
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- 1Department of Neurology, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- KMID: 2572916
- DOI: http://doi.org/10.21790/rvs.2024.028
Abstract
- Miller Fisher syndrome can present with various forms of ophthalmoplegia. This case report describes a 57-year-old woman who initially showed bilateral internuclear ophthalmoplegia (INO), with normal imaging and laboratory findings. Her neurologic symptoms progressed to include hyporeflexia and ataxia, leading to a diagnosis of Miller Fisher syndrome. Intravenous immunoglobulin treatment resulted in gradual improvement. This case report highlights the need to consider rare conditions like Miller Fisher syndrome in patients with INO-like features and unclear etiology.
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