Acute-Onset Bilateral External and Internal Ophthalmoplegia: A Rare Presentation of Miller Fisher Syndrome in a Pediatric Patient
2024

Rare Case of Miller Fisher Syndrome in a Child

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Richa, Pande Vineeta, Arora Amodini, Khan Md Owais Ali, Mane Shailaja

Primary Institution: Dr. D. Y. Patil Medical College, Hospital, and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND

Hypothesis

Can acute-onset internal and external ophthalmoplegia occur simultaneously in a pediatric patient with Miller Fisher syndrome?

Conclusion

The case highlights the importance of recognizing Miller Fisher syndrome in pediatric patients presenting with acute-onset ophthalmoplegia and ataxia.

Supporting Evidence

  • Miller Fisher syndrome is a rare variant of Guillain-BarrĂ© syndrome.
  • The patient presented with sudden onset ataxia, headache, and ophthalmoplegia.
  • Anti-GQ1b antibodies were present, confirming the diagnosis.
  • Treatment with IVIG and steroids led to gradual recovery.

Takeaway

A 10-year-old boy had a rare condition called Miller Fisher syndrome, which caused problems with his eye movements and balance, but he got better with treatment.

Methodology

The patient was diagnosed through clinical examination, lumbar puncture, and nerve conduction studies, and treated with IVIG and steroids.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

10-year-old male child.

Digital Object Identifier (DOI)

10.7759/cureus.75150

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