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What did he eat?
A 13-year-old boy reported acute horizontal binocular diplopia and headache. Ten days before these symptoms he suffered from a gastrointestinal infection. Ophthalmological examination revealed bilateral ophthalmoparesis and diffuse hyporeflexia. Magnetic resonance imaging of the brain was normal. Lu...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526636/ https://www.ncbi.nlm.nih.gov/pubmed/33010288 http://dx.doi.org/10.1016/j.survophthal.2020.09.007 |
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author | Rodrigo-Rey, Sara Gutiérrez-Ortiz, Consuelo Muñoz, Silvia Ortiz-Castillo, Jesús Vicente Siatkowski, R. Michael |
author_facet | Rodrigo-Rey, Sara Gutiérrez-Ortiz, Consuelo Muñoz, Silvia Ortiz-Castillo, Jesús Vicente Siatkowski, R. Michael |
author_sort | Rodrigo-Rey, Sara |
collection | PubMed |
description | A 13-year-old boy reported acute horizontal binocular diplopia and headache. Ten days before these symptoms he suffered from a gastrointestinal infection. Ophthalmological examination revealed bilateral ophthalmoparesis and diffuse hyporeflexia. Magnetic resonance imaging of the brain was normal. Lumbar puncture revealed albumin-cytological dissociation. There were no anti-GQ1b antibodies, but serum anti-GM1 antibodies were detected. He received intravenous immunoglobulins and had fully recovered two weeks later. Miller Fisher syndrome and its atypical variants are uncommon in childhood; nevertheless, they should be considered in the differential diagnosis of bilateral acute ophthalmoparesis. |
format | Online Article Text |
id | pubmed-7526636 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-75266362020-10-01 What did he eat? Rodrigo-Rey, Sara Gutiérrez-Ortiz, Consuelo Muñoz, Silvia Ortiz-Castillo, Jesús Vicente Siatkowski, R. Michael Surv Ophthalmol Clinical Challenges A 13-year-old boy reported acute horizontal binocular diplopia and headache. Ten days before these symptoms he suffered from a gastrointestinal infection. Ophthalmological examination revealed bilateral ophthalmoparesis and diffuse hyporeflexia. Magnetic resonance imaging of the brain was normal. Lumbar puncture revealed albumin-cytological dissociation. There were no anti-GQ1b antibodies, but serum anti-GM1 antibodies were detected. He received intravenous immunoglobulins and had fully recovered two weeks later. Miller Fisher syndrome and its atypical variants are uncommon in childhood; nevertheless, they should be considered in the differential diagnosis of bilateral acute ophthalmoparesis. Elsevier Inc. 2021 2020-09-30 /pmc/articles/PMC7526636/ /pubmed/33010288 http://dx.doi.org/10.1016/j.survophthal.2020.09.007 Text en © 2020 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Clinical Challenges Rodrigo-Rey, Sara Gutiérrez-Ortiz, Consuelo Muñoz, Silvia Ortiz-Castillo, Jesús Vicente Siatkowski, R. Michael What did he eat? |
title | What did he eat? |
title_full | What did he eat? |
title_fullStr | What did he eat? |
title_full_unstemmed | What did he eat? |
title_short | What did he eat? |
title_sort | what did he eat? |
topic | Clinical Challenges |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526636/ https://www.ncbi.nlm.nih.gov/pubmed/33010288 http://dx.doi.org/10.1016/j.survophthal.2020.09.007 |
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