Unilateral Oculomotor Nerve Palsy Following Campylobacter Infection: A Mild Form of Miller Fisher Syndrome without Ataxia

Unilateral oculomotor nerve palsy can result from various neurological disorders. We herein report the case of a 68-year-old man with complete unilateral oculomotor nerve palsy following campylobacter infection. Based on the antecedent infection and the patient's decreased tendon reflexes, inco...

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Autores principales: Ueno, Tatsuya, Kon, Tomoya, Kurihara, Ai-ichiro, Tomiyama, Masahiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709641/
https://www.ncbi.nlm.nih.gov/pubmed/28943568
http://dx.doi.org/10.2169/internalmedicine.8824-17
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author Ueno, Tatsuya
Kon, Tomoya
Kurihara, Ai-ichiro
Tomiyama, Masahiko
author_facet Ueno, Tatsuya
Kon, Tomoya
Kurihara, Ai-ichiro
Tomiyama, Masahiko
author_sort Ueno, Tatsuya
collection PubMed
description Unilateral oculomotor nerve palsy can result from various neurological disorders. We herein report the case of a 68-year-old man with complete unilateral oculomotor nerve palsy following campylobacter infection. Based on the antecedent infection and the patient's decreased tendon reflexes, incomplete Miller Fisher syndrome (MFS) without ataxia was suspected. His serum tested positive for anti-GQ1b antibodies. He recovered over a period of 87 days without immunotherapy. We conclude that incomplete MFS following campylobacter infection can cause unilateral oculomotor nerve palsy without ataxia. Mild MFS should be considered in patients presenting with unilateral isolated ophthalmoplegia and decreased tendon reflexes.
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spelling pubmed-57096412017-12-04 Unilateral Oculomotor Nerve Palsy Following Campylobacter Infection: A Mild Form of Miller Fisher Syndrome without Ataxia Ueno, Tatsuya Kon, Tomoya Kurihara, Ai-ichiro Tomiyama, Masahiko Intern Med Case Report Unilateral oculomotor nerve palsy can result from various neurological disorders. We herein report the case of a 68-year-old man with complete unilateral oculomotor nerve palsy following campylobacter infection. Based on the antecedent infection and the patient's decreased tendon reflexes, incomplete Miller Fisher syndrome (MFS) without ataxia was suspected. His serum tested positive for anti-GQ1b antibodies. He recovered over a period of 87 days without immunotherapy. We conclude that incomplete MFS following campylobacter infection can cause unilateral oculomotor nerve palsy without ataxia. Mild MFS should be considered in patients presenting with unilateral isolated ophthalmoplegia and decreased tendon reflexes. The Japanese Society of Internal Medicine 2017-09-25 2017-11-01 /pmc/articles/PMC5709641/ /pubmed/28943568 http://dx.doi.org/10.2169/internalmedicine.8824-17 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ueno, Tatsuya
Kon, Tomoya
Kurihara, Ai-ichiro
Tomiyama, Masahiko
Unilateral Oculomotor Nerve Palsy Following Campylobacter Infection: A Mild Form of Miller Fisher Syndrome without Ataxia
title Unilateral Oculomotor Nerve Palsy Following Campylobacter Infection: A Mild Form of Miller Fisher Syndrome without Ataxia
title_full Unilateral Oculomotor Nerve Palsy Following Campylobacter Infection: A Mild Form of Miller Fisher Syndrome without Ataxia
title_fullStr Unilateral Oculomotor Nerve Palsy Following Campylobacter Infection: A Mild Form of Miller Fisher Syndrome without Ataxia
title_full_unstemmed Unilateral Oculomotor Nerve Palsy Following Campylobacter Infection: A Mild Form of Miller Fisher Syndrome without Ataxia
title_short Unilateral Oculomotor Nerve Palsy Following Campylobacter Infection: A Mild Form of Miller Fisher Syndrome without Ataxia
title_sort unilateral oculomotor nerve palsy following campylobacter infection: a mild form of miller fisher syndrome without ataxia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709641/
https://www.ncbi.nlm.nih.gov/pubmed/28943568
http://dx.doi.org/10.2169/internalmedicine.8824-17
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