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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...

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Autores principales: Rodrigo-Rey, Sara, Gutiérrez-Ortiz, Consuelo, Muñoz, Silvia, Ortiz-Castillo, Jesús Vicente, Siatkowski, R. Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2021
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.
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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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