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http://dx.doi.org/10.14253/acn.2019.21.1.53

Miller Fisher syndrome mimicking Wernicke encephalopathy during pregnancy  

Seo, Jung Hwa (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine)
Kang, Mi-Ri (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine)
Yoon, Byeol-A (Department of Neurology, Dong-A University Hospital, Dong-A University College of Medicine)
Ji, Ki-Hwan (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine)
Oh, Seong-il (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine)
Publication Information
Annals of Clinical Neurophysiology / v.21, no.1, 2019 , pp. 53-56 More about this Journal
Abstract
Miller Fisher syndrome (MFS) is characterized by ataxia, areflexia, and ophthalmoparesis. Here we present a case of MFS mimicking Wernicke encephalopathy (WE) during pregnancy. A 31-year-old woman at 8 weeks of gestation presented with diplopia and ataxia after experiencing nausea and vomiting for several weeks. We initiated thiamine based on a suspicion of WE, which produced no clear effects. However, her symptoms began to improve following intravenous immunoglobulin treatment, and other findings finally lead to a diagnosis of MFS. Because ataxia and ophthalmoparesis can be misdiagnosed as WE during pregnancy, clinicians should consider MFS in the differential diagnosis.
Keywords
Miller Fisher syndrome; Pregnancy; Wernicke encephalopathy;
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