Abstract
A case is described of a man with an acute onset areflexic ataxic syndrome with partial ophthalmoparesis and normal limb muscle power. There was evidence of both a peripheral neuropathy and a brainstem encephalitis. The patient made a full recovery and the interrelationship and nosology of brainstem encephalitis and the Miller Fisher syndrome are discussed.
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- Al-Din A. N., Anderson M., Bickerstaff E. R., Harvey I. Brainstem encephalitis and the syndrome of Miller Fisher: a clinical study. Brain. 1982 Sep;105(Pt 3):481–495. doi: 10.1093/brain/105.3.481. [DOI] [PubMed] [Google Scholar]
- FISHER M. An unusual variant of acute idiopathic polyneuritis (syndrome of ophthalmoplegia, ataxia and areflexia). N Engl J Med. 1956 Jul 12;255(2):57–65. doi: 10.1056/NEJM195607122550201. [DOI] [PubMed] [Google Scholar]
- Giroud M., Mousson C., Chalopin J. M., Rifle G., Dumas R. Miller-Fisher syndrome and pontine abnormalities on MRI: a case report. J Neurol. 1990 Dec;237(8):489–490. doi: 10.1007/BF00314769. [DOI] [PubMed] [Google Scholar]
- Jamal G. A., Ballantyne J. P. The localization of the lesion in patients with acute ophthalmoplegia, ataxia and areflexia (Miller Fisher syndrome). A serial multimodal neurophysiological study. Brain. 1988 Feb;111(Pt 1):95–114. doi: 10.1093/brain/111.1.95. [DOI] [PubMed] [Google Scholar]
- Ropper A. H., Shahani B. Proposed mechanism of ataxia in Fisher's syndrome. Arch Neurol. 1983 Sep;40(9):537–538. doi: 10.1001/archneur.1983.04050080037004. [DOI] [PubMed] [Google Scholar]
- Taphoorn M. J., Lanting P., Hazenberg G. J., Uitdehaag B. J., Kaiser M. C. Observations on the lesion site in the Miller Fisher syndrome: presentation of a case including CT and MRI. Acta Neurol Scand. 1989 Aug;80(2):167–169. doi: 10.1111/j.1600-0404.1989.tb03861.x. [DOI] [PubMed] [Google Scholar]
- WYNDER E. L. Towards a solution of the tobacco-cancer problem. Br Med J. 1957 Jan 5;1(5009):1–3. doi: 10.1136/bmj.1.5009.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yaqub B. A., al-Deeb S. M., Daif A. K., Sharif H. S., Shamena A. R., al-Jaberi M., Obeid T., Panayiotopoulos C. C. Bickerstaff brainstem encephalitis. A grave non-demyelinating disease with benign prognosis. J Neurol Sci. 1990 Apr;96(1):29–40. doi: 10.1016/0022-510x(90)90054-q. [DOI] [PubMed] [Google Scholar]

