COVID-19 Induced Miller Fisher Syndrome Presenting With Autonomic Dysfunction: A Unique Case Report and Review of Literature

被引:15
作者
Biswas, Subhrajyoti [1 ]
Ghosh, Ritwik [1 ]
Mandal, Arpan [1 ]
Pandit, Alak [2 ]
Roy, Dipayan [3 ,4 ]
Sengupta, Samya [5 ]
De, Kaustav [1 ]
Swaika, Bikash Chandra [1 ]
Benito-Leon, Julian [6 ,7 ,8 ]
机构
[1] Burdwan Med Coll & Hosp, Dept Gen Med, Burdwan, W Bengal, India
[2] Bangur Inst Neurosci, Dept Neuromed, Kolkata, India
[3] All India Inst Med Sci AIIMS, Dept Biochem, Jodhpur, Rajasthan, India
[4] Indian Inst Technol IIT, Madras, Tamil Nadu, India
[5] Apollo Gleneagles Hosp, Dept Gen Med, Kolkata, W Bengal, India
[6] Univ Hosp 12 Octubre, Dept Neurol, Ave Cordoba S-N, Madrid 28041, Spain
[7] Ctr Invest Biomed Red Enfermedades Neurodegenerat, Madrid, Spain
[8] Univ Complutense Madrid, Dept Med, Madrid, Spain
基金
美国国家卫生研究院;
关键词
Autonomic dysfunction; COVID-19; Miller Fisher syndrome (MFS); SARS-CoV-2; GUILLAIN-BARRE-SYNDROME;
D O I
10.1177/19418744211016709
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A plethora of neurological manifestations are associated with the 2019 coronavirus infectious disease (COVID-19). We hereby report the first case of a patient infected with SARS-CoV-2 who acutely presented with autonomic dysfunction preceding the onset of complete clinical picture of Miller Fisher syndrome. She was finally diagnosed to be a case of anti-ganglioside antibody positive post-COVID-19 Miller Fisher syndrome with dysautonomia and treated with intravenous immunoglobulin with an excellent response. We also discuss the plausible pathogenic mechanisms of COVID-19 induced Miller Fisher syndrome and furnish a review of the post-COVID-19 Miller Fisher syndrome cases reported.
引用
收藏
页码:111 / 116
页数:6
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