Abstract
Miller Fisher syndrome is a clinical variant of Guillain-Barre syndrome with classictriad of ophthalmoplegia, ataxia and areflexia which there were some reports of multiplecranial nerves enhancement on MRI. We report a case of 66-year-old male presenting withheadache and numbness of hands and feet, then gradual developed bilateral diplopia, ptosis,decreased deep tendon reflex and impaired tandem gait. Post contrast MRI showed multiplecranial nerves enhancement. Miller Fisher syndrome was diagnosed based on clinical triadand electrophysiologic evidence of polyneuropathy involved axon and myelin. We suggestedthat thin slice section of the post contrast MRI is likely to be helpful for detection of theseabnormalities.
Publisher
Faculty of Medicine, Chulalongkorn University
First Page
369
Last Page
373
Recommended Citation
Petcharunpaisan, S and Lerdlum, S.
(2010)
"A case of Miller Fisher syndrome with multiplecranial nerves enhancement on MRI,"
Chulalongkorn Medical Journal: Vol. 54:
Iss.
4, Article 7.
Available at:
https://digital.car.chula.ac.th/clmjournal/vol54/iss4/7