Proptosis: A forgotten observation by Miller Fisher on his syndrome

A 61-year-old man presented with rapidly progressive vision change and facial droop. There was proptosis (figure) and profound facial diplegia in addition to the more classic triad of ophthalmoplegia, ataxia, and areflexia (video at Neurology.org). The clinical diagnosis of Miller Fisher syndrome was confirmed by electrophysiologic studies. He made a complete recovery after IV immunoglobulin infusion.

Source: Neurology - September 11, 2017 Category: Neurology Authors: Braksick, S. A., Rabinstein, A. A., Wijdicks, E. F. M. Tags: All Clinical Neurology, Clinical neurology examination, All Neuromuscular Disease, Guillain-Barre syndrome VIDEO NEUROIMAGES Source Type: research