TITLE:
A Patient with Post Infectious Immune Mediated Neuropathy (Miller Fisher Syndrome)
AUTHORS:
Sharlene Sanchez, Azad Esack
KEYWORDS:
Miller Fisher, Anti-Ganglioside, Demyelinating, Immune Mediated
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.8 No.3,
March
15,
2017
ABSTRACT: The Miller Fisher variant is an uncommon but well known syndrome being described as a triad of areflexia, ataxia and complex ophthalmoplegia. It is characterized by antibodies against myelin that affects peripheral nerves, extraocular muscles and Schwann cells. Anti-ganglioside antibodies have been recognized in disease pathogenesis and decreasing antibody production is the mainstay of treatment. The course is usually benign with improvement after immunomodulation. This case report describes the approach to a patient suspected of having a demyelinating disorder. It delineates the subsets of immune mediated neuropathies in evaluating the diagnosis and emphasizes the need for early therapeutic intervention in achieving a good clinical outcome.