Miller Fisher syndrome: a success story

Abstract

Acute inflammatory demyelination polyneuropathy (AIDP) or acute idiopathic polyneuritis are the other key synonyms for Guillain-Barre syndrome (GBS) with ascending characteristics of weakness, mild sensorium loss, areflexia or hyporeflexia. GBS has been seen most commonly among the younger age group, and a male predominance has been reported. The case reports demonstrate a case of a 66-year-old female admitted to the causality department with abrupt onset of giddiness, diplopia, and headache the patient was diagnosed with myasthenia gravis and atypical GBS and shifted to the ward for further treatment. The patient was in the intensive-care unit due to mild ischemic changes in the MRI brain and bilateral facial neuropathy. The patient was treated with intravenous immunoglobulins and I.V. glucocorticoids. The patient was discharged on the 25th day of admission without support walk and full extraocular movements. The case report demonstrates the essential use of high clinical knowledge and investigation for a prompt treatment for a such rare disorder.