MILLER FISCHER SYNDROME

Abstract

Introduction

Miller Fischer syndrome is a rare variant of Guillain-Barre syndrome which consists of areflexia, ataxia and ophthalmoplegia [1]. This syndrome is considered to be a benign variety of acute inflammatory demyelinating polyneuropathy (Guillain – Barre Syndrome) [2]. But there are some cases which do not have this typical presentation but may have features of peripheral neuropathy (including paresthesia of distal limbs, oropharyngeal weakness or bifacial weakness). Here we present a case of a young boy belonging to an area of southern Punjab, which was not very typical of Miller Fischer Syndrome but later on the progression of disease and lab reports confirmed our diagnosis made at the time of presentation. Intravenous immunoglobulins were given to him to which he responded well.