Autopsy and Case Reports
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Article / Clinical Case Report

Miller Fisher syndrome: a rare variant of Guillain-Barré syndrome

Luciana Pinto Bandeira; Luize Giuri Palaoro; Jairo Degenszajn

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This report describes the case of a 39-year-old male patient who presented to the emergency room with complaints of impaired balance, diplopia, and nasal voice. The patient had a history of upper respiratory tract infection. The initial physical examination revealed ataxia, ophthalmoplegia, and areflexia, which are consistent with the classic triad of Miller Fisher syndrome, considered a benign variant of Guillain-Barré syndrome. The patient developed peripheral facial paralysis during hospitalization. He underwent a treatment with immunoglobulin for five days, resulting in near complete resolution of the ataxia. However, the ophthalmoplegia and areflexia persisted. He was discharged to outpatient follow-up.


Miller Fisher syndrome, Ataxia, Ophthalmoplegia, GQ1b ganglioside [Supplementary concept], Facial nerve.

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5696969e64cc8b5cda711ba8 autopsy Articles
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