These findings were conclusive for
Miller-Fisher syndrome. He had no hepatic symptoms.
One had a history and subsequent course compatible with previously undiagnosed Alzheimer-type dementia, one had confusion accompanying heart failure and systemic upset associated with pre-existing nephrotic syndrome, and the third had mild continuous drowsiness associated with signs of
Miller-Fisher syndrome, including marked ataxia.
The incidence of cranial nerve involvement, 16%, is in the lower range of the published rates of 15-46% (19); however our series excluded
Miller-Fisher syndrome.
Strain ST aspA glnA gltA glyA pgm tkt uncA BD-07 22 1 3 6 4 3 3 3 BD-10 3219 10 27 33 19 10 5 7 BD-22 3219 10 27 33 19 10 5 7 BD-27 587 1 2 42 4 90 25 8 BD-34 3219 10 27 33 19 10 5 7 BD-39 660 1 3 6 4 54 91 3 BD-67 985 10 27 89 19 10 132 7 BD-74 3219 10 27 33 19 10 5 7 BD-75 587 1 2 42 4 90 25 8 BD-94 2109 4 7 10 4 10 7 1 * LOS, lipooligosaccharides; ST, sequence type; GBS, Guillain-Barre syndrome; HS, heat stable; MFS,
Miller-Fisher syndrome; UT, untypeable.
A combined presentation of Graves' disease and
Miller-Fisher syndrome. Lancet 2008; 31:1886.