Anti-GQ1b-Negative Miller Fisher Syndrome with Acute Areflexic Mydriasis and Cholinergic Supersensitivity


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Yildiz Ö. , BALABAN H. , ÖZDEMİR S. , BOLAYIR E. , Topaktas S.

NEURO-OPHTHALMOLOGY, cilt.35, ss.40-42, 2011 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 35 Konu: 1
  • Basım Tarihi: 2011
  • Doi Numarası: 10.3109/01658107.2010.539761
  • Dergi Adı: NEURO-OPHTHALMOLOGY
  • Sayfa Sayıları: ss.40-42

Özet

Miller Fisher syndrome is a rare variant of Guillain-Barre syndrome and it is characterised by ophthalmoplegia, ataxia, and areflexia. Pupillomotor involvement occurs in approximately half of the patients with the disorder. The authors report a patient with acute areflexic mydriasis, external ophthalmoplegia, areflexia, and ataxia. Although the pupils were unreactive to light and near stimuli, administration of 0.1% pilocarpine resulted in marked miosis, suggesting cholinergic supersensitivity. Antibodies against GM1, GD1b, and GQ1b were negative. This is the first report of acute areflexic mydriasis with cholinergic supersensitivity in anti-GQ1b-negative Miller Fisher syndrome.