Unilateral Oculomotor Nerve Palsy Following Campylobacter Infection: A Mild Form of Miller Fisher Syndrome without Ataxia

被引：8

作者：

Ueno, Tatsuya ^{[1
]}

Kon, Tomoya ^{[1
]}

Kurihara, Ai-ichiro ^{[2
]}

Tomiyama, Masahiko ^{[1
]}

机构：

[1] Aomori Prefectural Cent Hosp, Dept Neurol, Aomori, Japan

[2] Aomori Rosai Hosp, Dept Neurol, Aomori, Japan

来源：

INTERNAL MEDICINE | 2017年 / 56卷 / 21期

关键词：

oculomotor nerve; oculomotor nerve palsy; ophthalmoplegia; GQ1b; anti-GQ1b antibody syndrome; campylobacter; ANTI-GQ1B IGG ANTIBODY; BRAIN-STEM ENCEPHALITIS; CLINICAL-FEATURES; OPHTHALMOPLEGIA; OPHTHALMOPARESIS; SPECTRUM;

D O I：

10.2169/internalmedicine.8824-17

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Unilateral oculomotor nerve palsy can result from various neurological disorders. We herein report the case of a 68-year-old man with complete unilateral oculomotor nerve palsy following campylobacter infection. Based on the antecedent infection and the patient's decreased tendon reflexes, incomplete Miller Fisher syndrome (MFS) without ataxia was suspected. His serum tested positive for anti-GQ1b antibodies. He recovered over a period of 87 days without immunotherapy. We conclude that incomplete MFS following campylobacter infection can cause unilateral oculomotor nerve palsy without ataxia. Mild MFS should be considered in patients presenting with unilateral isolated ophthalmoplegia and decreased tendon reflexes.

引用

页码：2929 / 2932

页数：4

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