ISSN - 0973-0958

Pediatric Oncall Journal View Article

Farouq I Thabet1, Kaiz S Asif2, Charles J Marcuccilli1.
1Pediatric Neurology Division, Medical College of Wisconsin, Milwaukee, WI, USA,
2Department of Neurology, Medical College of Wisconsin, Milwaukee, WI, USA.
Miller Fisher Syndrome typically presents as a triad of ophthalmoplegia, ataxia and areflexia. We report on a previously healthy 14 year-old female who presented with 3 -day history of lingual neuropathy followed by facial diplegia. Three days after hospital admission she had ataxia and areflexia. Cerebrospinal fluid (CSF) protein was high. Patient was diagnosed with Miller Fisher Syndrome even in the absence of ophthalmoplegia. Subsequently, she was treated with intravenous immunoglobulin. Complete recovery was seen in 6-month follow up. To our knowledge, this is the first case of Miller Fisher Syndrome presenting as lingual neuropathy.

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