Miller Fisher Syndrome in a Healthy Male with Positive ANA: A Rare Presentation and Successful Outcome with IVIG Therapy

Abstract

A 29-years-old man presented with a sudden onset of double vision, oscillopsia, headache and vomiting, four days after recovering from an upper respiratory tract infection. Examination revealed bilateral painful ophthalmoplegia, ataxia, areflexia and loss of sensation over the left upper and middle thirds of his face. Neuroimaging was normal, and lumbar puncture showed albuminocytological dissociation. GQ1B and anti-nuclear antibody tests were positive. The patient’s symptoms improved after completion of intravenous immunoglobulin, with no residual neurological deficit after three months.