A Case of Atypical Miller Fisher Sndrome.

Sohn, Hee Jin; Lee, Jong Hyeok; Paik, Hye Jung; Chi, Mi Jung

Case Report

Journal of the Korean Ophthalmological Society 2007;48(6):878-882.
Published online June 30, 2007.

A Case of Atypical Miller Fisher Sndrome.

Hee Jin Sohn, Jong Hyeok Lee, Hye Jung Paik, Mi Jung Chi

¹Department of Ophthalmology, Gachon University of Medicine and Science, Incheon, Korea. cmj@gilhospital.com
²Jeil Ophthalmology Clinics, Gyeonggi, Korea.

교뇌출혈후 발생한 동측 내사시를 동반한 수평주시마비 1예

오종현¹,김승현¹,지미정²,조윤애¹

Department of Ophthalmology, Korea University College of Medicine¹, Ansan, Korea Department of Ophthalmology, Gachon Medical School, Ghil Medical Center², Incheon, Korea

Correspondence: Jong-Hyun Oh, M.D.¹

Abstract

PURPOSE
To report one case of atypical Miller Fisher syndrome with spontaneous recovery. METHODS: A 44-year-old woman was visited our clinic complaining of diplopia for 2 days. She has irregular medication history for thyroid dysfunction, and there was no antecedent respiratory or gastrointestinal infection. The best corrected visual acuity of both eyes was 20/20. She showed bilateral proptosis and limitation of abduction and supraduction, mild blepharoptosis of left eye and esotropia of 30 prism diopter (PD). RESULTS: Thyroid fuction test, orbital CT and electromyography were normal. Cerebrospinal fluid (CSF) analysis revealed albuminocytologic dissociation. Steroid pulse therapy was started promptly, but there was no improvement. Extraocular movement and diplopia gradually improved after 4 weeks of onset. and spontaneously recovered completely after 2 months. CONCLUSIONS: We reported a case of atypical Miller Fisher syndrome that completely and spontaneously recovered within 2 months., and represented normal findings by every examination such as orbital CT, thyroid function test, electromyography and CSF analysis.

Key Words: Diplopia;Esotropia;Ophthalmoplegia