Dr. KIRTI VERMA

DR. JEOTSNA RAJPUT, DR. TANMAY SRIVASTAV, Dr. DEEPAK MISHRA

Abstract

Purpose: Miller Fisher Syndrome is a rare form of acute Guillain-Barre syndrome. It presents with classical triad of Ophthalmoplegia, Ataxia and Areflexia.

Method: A 16 year old boy presented us with complaints of drooping of both eyelids. He gave history of upper respiratory tract infection 20 days back. The patient underwent detailed ophthalamic examination and was referred to neurology department for further detailed examination.

Result: On complete ocular examination he had ptosis with restricted extraocular movements and normal visual acuity in both eyes. Fundus was normal in both eyes. Subsequently he developed difficulty in walking over period of 2 days. On neurological examination his deep tendon reflexes were diminished.

Conclusion: Patient was diagnosed as Miller Fisher Syndrome and was managed conservatively with intravenous corticosteroids. This is a rare condition and it should be differentiated with other causes of acquired ptosis in order to decide proper management.