Abstract
A 71-year-old male presented to the emergency department with unsteadiness, blurred vision, slurred speech and sensory changes. He had progressive loss of reflexes. After initial horizontal nystagmus he developed bilateral ophthalmoplegia with bilateral ptosis and impaired coordination with an ataxic gait. This was preceded by productive cough and loose stools.The patient was diagnosed with Miller Fisher Syndrome (MFS), with a positive anti-GQ1b antibody and CSF albuminocytologic dissociation supporting the diagnosis. This was the patient’s second episode of MFS. The first had occurred twenty-seven years earlier with a similar presentation and examination findings.This poster then reviews the clinical presentation, management and recurrence of Miller Fisher Syndrome. gavriella.levinson@nhs.net
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