Lm. Cher et Jm. Merory, MILLER-FISHER SYNDROME MIMICKING STROKE IN IMMUNOSUPPRESSED PATIENT WITH RHEUMATOID-ARTHRITIS RESPONDING TO PLASMA-EXCHANGE, Journal of clinical neuro-ophthalmology, 13(2), 1993, pp. 138-140
A patient with rheumatoid arthritis on immunosuppressive therapy was a
dmitted to hospital with the sudden onset of diplopia and ataxia. Beca
use of the history, a stroke was thought most likely. However, as he p
rogressed a diagnosis of the Miller Fisher syndrome was established. H
e responded to plasma exchange. This presentation is highly unusual an
d has not previously been described. In addition, the possibility of i
mmune dysregulation setting the stage for the development of this synd
rome is discussed. The role of plasma exchange for this condition is a
lso reviewed.