An 85-year-old woman with Miller Fisher syndrome.

Abstract:

:Miller Fisher's syndrome (MFS) commonly presents in the fourth and fifth decades and are rare in people over 70 years. An 85-year-old female with no significant medical history presented with upper extremity anesthesia, ptosis, and unsteady gait. The patient had a history of hypertension and diabetes mellitus. Physical examination showed bilateral total external ophthalmoplegia, areflexia, and cerebellar ataxia. Radiological and laboratory studies were unremarkable. Lumbar puncture showed albuminocytological dissociation. The combined history, physical examination, and lumbar puncture results established a presumptive diagnosis of MFS. Intravenous immunoglobulin was given for 5 days. The patient gradually improved 10 days after the onset of symptoms. Ophthalmoplegia had fully recovered after 6 months. To the best of our knowledge, this case represented the oldest patient with MFS.

journal_name

Pak J Med Sci

authors

Wang SH,Zhang YB,Xie YC,Wang DX,Li JM

doi

10.12669/pjms.295.3793

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

1288-9

issue

5

eissn

1682-024X

issn

1681-715X

journal_volume

29

pub_type

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