Miller-Fisher Syndrome Presenting with Bilateral Pseudo-Internuclear Ophthalmoplegia
- Author:
Sanghee HA
1
;
Tae Hwan YOON
;
Yu Yong SHIN
;
Eun Jae LEE
;
Bum Joon KIM
Author Information
- Publication Type:Case Report
- Keywords: Miller-Fisher syndrome; Ophthalmoplegia
- MeSH: Ataxia; Humans; Middle Aged; Miller Fisher Syndrome; Multiple Sclerosis; Ocular Motility Disorders; Ophthalmoplegia; Stroke
- From:Journal of the Korean Neurological Association 2018;36(2):100-102
- CountryRepublic of Korea
- Language:Korean
- Abstract: Bilateral internuclear ophthalmoplegia (INO) refers to a specific gaze abnormality of bilateral adduction deficits, often accompanied by dissociated abducting nystagmus, caused by medial longitudinal fasciculus lesions usually due to multiple sclerosis or stroke. We report a 63-year-old man with clinical features of Miller-Fisher syndrome (MFS), consisting of ataxia, areflexia, and external ophthalmoplegia which mimicked bilateral-INO without an identifiable central lesion. Although bilateral adduction deficits are usually caused by central lesions, peripheral nervous damage by MFS is needed to be considered.
