Author: Rodrigo-Rey, S.; Gutiérrez-Ortiz, C.; Muñoz, S.; Ortiz-Castillo, J.V.; Siatkowski, R.M.
Title: What did he eat? Cord-id: bw7i2yu2 Document date: 2020_9_30
ID: bw7i2yu2
Snippet: A 13-year-old boy reported acute horizontal binocular diplopia and headache. Ten days prior to 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 raised. He received intravenous immunoglobulins and had fully recover
Document: A 13-year-old boy reported acute horizontal binocular diplopia and headache. Ten days prior to 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 raised. 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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