Abstract
Introduction: Miller-Fisher syndrome (MFS) is a polyneuropathy with benign outcome characterized by ophthalmoplegia, limb ataxia and tendon areflexia. Impaired consciousness level and intracranial hypertension are very rare symptoms in MFS. Case report: We describe the case of a 5-year-old girl who showed intracranial hypertension, transient coma and respiratory failure after mild head injury; moreover the patient showed mild ataxia, areflexia, ophthalmoplegia and autonomic disturbancies. These symptoms were suggestive of MFS. Electrophysiologic studies and laboratory tests confirmed the diagnosis and immunoglobulins and steroids were given. The child showed a progressive clinical improvement and the final outcome was good. Conclusion: This case, initially managed as trauma injury due to the presence of suggestive signs and clinical history, maskered an atypical presentation of Miller-Fisher syndrome, a rare disorder of central nervous system.
Original language | English (US) |
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Pages (from-to) | 473-476 |
Number of pages | 4 |
Journal | Child's Nervous System |
Volume | 21 |
Issue number | 6 |
DOIs | |
State | Published - Jun 2005 |
Externally published | Yes |
Keywords
- Bickerstaff's encephalitis
- Brain injury
- Intracranial hypertension
- Miller Fisher syndrome
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Clinical Neurology