21. Baylor Neurology Case Of The Month Summary and Discussion Mary Ellen Vanderlick, MD Resident, Department of Neurology.Diagnosis miller fisher syndrome A Review of miller fisher syndrome. http://www.bcm.tmc.edu/neurol/challeng/pat19/summary.html

Patient #19 Summary and Discussion Mary Ellen Vanderlick, M.D. Resident, Department of Neurology Diagnosis: Miller Fisher Syndrome Botulism and Miller Fisher syndrome can present in a similar fashion with cranial nerve involvement and pupillary changes. If food-borne, botulism typically occurs as a descending paralysis. The patient is often sick prior to the onset of symptoms and tends to eat canned goods. Having a low vital capacity, pupillary changes, and a normal spinal fluid following symptoms that occurred two to three days before, botulism was a strong consideration. EMG can be useful for the differential and usually shows reduced CMAP amplitudes, normal nerve conductions, and post-tetanic facilitation. Stool or serum will be positive for botulinum toxin in adults; adults tend to ingest the preformed toxin while infants ingest the spores of Clostridium botulinum Imaging studies and CSF should be normal. Adult botulinum poisoning is often fatal if untreated. Other considerations: Myasthenia gravis may present with rapid-onset of bulbar and respiratory weakness but without autonomic dysfunction. Patients often complain of diplopia, but rarely have complete ophthalmoplegia. There is usually limb weakness as well. Tensilon and EMG testing were not compatible with this diagnosis.

22. Patient 19 Selftest Patient 19 miller fisher syndrome (MFS) 1. The average age of onsetis A. 22.5 B. 60 C. 43.6 D. 36. 2. The following statement is http://www.bcm.tmc.edu/neurol/challeng/pat19/selftest.html

Patient #19 1. The average age of onset is A. B. C. D. 2. The following statement is true regarding MFS A. occurs more often in females B. reflexes are usually normal C. about two thirds of patients present with diplopia D. vertigo is a frequent complaint 3. All of the following statements are true except A. the core syndrome consists of areflexia, ophthalmoplegia, and ataxia B. a viral infection often precedes the symptoms C. botulism can present in a similar fashion D. proximal muscle weakness is not seen in MFS 4. All of the following findings are consistent with MFS except A. absent H reflexes by EMG/NCV B. elevated CSF protein C. cranial nerve enhancement on imaging studies D. abnormal ACE level 5. All of the following are correct regarding MFS except A. the current belief is that the pathology is central B. campylobacter jejuni as well as antibodies to the ganglioside GQ1b are associated with MFS C. treatment is usually with plasmapheresis or intravenous immunoglobulins D. prognosis is good with recovery after a mean of 10 weeks Department of Neurology, Baylor College of Medicine

23. 1Up Health > Health Links Directory > Conditions And Diseases: Neurological Diso Sites. NINDS miller fisher syndrome Information sheet compiled by theNational Institute of Neurological Disorders and Stroke. Pediatric http://www.1uphealth.com/links/brain-diseases-miller-fisher-syndrome.html

Home Contact Us Privacy Caring For Your Well Being Alternative Medicine Clinical Trials Health News Poisons ... Health Topics A-Z Search 1Up Health Health Directory Addictions Alternative Animal ... Weight Loss By Demography Child Health Teen Health Men's Health Women's Health ... Brain Diseases : Miller Fisher Syndrome Description See Related Categories Health: Conditions and Diseases: Neurological Disorders: Demyelinating Diseases: Guillain-Barre Syndrome Health: Conditions and Diseases: Neurological Disorders: Movement Disorders Health: Conditions and Diseases: Neurological Disorders: Ocular Motility Disorders Sites NINDS: Miller Fisher Syndrome Information sheet compiled by the National Institute of Neurological Disorders and Stroke. Pediatric Database Offers a definition of Miller-Fisher syndrome followed by the epidemiology, clinical features and management. WorldMedicus A description of miller fisher syndrome along with reviews, articles and images. Help build the largest human-edited directory on the web. Submit a Site Open Directory Project Become an Editor Parts of the directory made available on 1UpHealth have been modified. External Web site links provided on this site are meant for convenience and for informational purposes only; they do not constitute an endorsement.

24. Miller Fisher Syndrome In An Elderly Man. National Library of Medicine's PubMed directory of MEDLINE citations. Miller Fishersyndrome in an elderly man. Bussin J Age Ageing 2001 May;30(3)268-9. http://www.arclab.org/medlineupdates/abstract_11443034.html

Aging Research Center Home Page All Previous Aging Related Articles On-line Medical Dictionary National Library of Medicine's PubMed directory of MEDLINE citations. Miller Fisher syndrome in an elderly man. - Bussin J Age Ageing 2001 May;30(3):268-9. No abstract text was provided. This abstract at PubMed. Full article at the journal it was published. (Subscription may be required.)

25. ClinicalTrials.gov - Linking Patients To Medical Research: Results Search results for miller fisher syndrome ALLFIELDS are shown below. Show alltrials, including those no longer recruiting patients. 4 studies were found. http://www.clinicaltrials.gov/search/term=Miller Fisher Syndrome

Home Search Browse Resources ... About Search results for Miller Fisher Syndrome [ALL-FIELDS] are shown below. Show all trials, including those no longer recruiting patients. 1 study was found. Recruiting Immunosuppressive Therapy in Treating Patients With Myelodysplastic Syndrome Conditions: Refractory Anemia; refractory anemia with ringed sideroblasts; refractory anemia with excess blasts; de novo myelodysplastic syndromes; ... U.S. National Library of Medicine Contact NLM Customer Service National Institutes of Health Freedom of Information Act ... Accessibility

26. ClinicalTrials.gov - Linking Patients To Medical Research Search Query Details. No studies were found for NINDS miller fisher syndrome InformationPage ALLFIELDS. NINDS miller fisher syndrome Information Page , None. http://www.clinicaltrials.gov/search/term=NINDS Miller Fisher Syndrome Informati

27. Miller Fisher Variant you for providing this forum. I was recently hospitalized and diagnosedwith miller fisher syndrome. It began one day with distorted http://www.medhelp.org/forums/neuro/messages/30659a.html

Advertisement Welcome to Med Help International A not-for-profit organization Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Miller Fisher Variant Topic Area: Guillain Barre Syndrome Forum: The Neurology and Neurosurgery Forum Question Posted By: kelly on Thursday, June 29, 2000 Thank you for providing this forum. I was recently hospitalized and diagnosed with Miller Fisher syndrome. It began one day with distorted vision and by the next morning I could not control my motor functions and my vision was double. The neurologist ordered every tetst imaginable, blood, CT, tensilon, cranial and spinal MRIs, lumbar puncture, EMG etc. My dilemmas is, nothing unusual has shown up in the diagnostic work. All of the tests were withing the normal range. There was a very small brain lesion on the MRI but I was told, not in an area likely to cause the type of motor problems I was having. They initially began treating me with steroids for MS, but based on the presence of ophthalmoplegia and lack of reflexes, changed the diagnosis to Miller Fisher. I was given 5 days of IVIg and released. I am still weak - but can walk - although the double vision persists. During a followup appointment last week, my neuro told me that a blood antibody test for Miller Fisher had just come back "negative" but they are standing by the diagnosis based on my symptoms and the response to IVIg.

28. Re: Undiagnosed Illness Causing Nerve Damage I consulted a Neurologist who's initial thought was either Myasthenia Gravisor miller fisher syndrome. He ordered blood tests and an MRI of my head. http://www.medhelp.org/forums/neuro/archive/7520.html

Advertisement Welcome to Med Help International A not-for-profit organization Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Re: Undiagnosed illness causing nerve damage Forum: The Neurology and Neurosurgery Forum Topic Area: Neurology - General Posted by CCF MD mdf on August 19, 1998 at 12:48:57: In Reply to: Undiagnosed illness causing nerve damage posted by Martin on August 18, 1998 at 23:27:13: : Profile: 39yo male, 5'10", 155lbs, healthy : For the past 1 1/2 months I have been suffering from a undiagnosed illness which has left me weakened and struggling to regain my health. It started as a light-headed feeling one morning and within 3 days, I was experiencing difficulty in swallowing and had become very weak. Other symptoms included droopy eye's, difficulty speaking and overall fatigue. I consulted a Neurologist who's initial thought was either Myasthenia Gravis or Miller Fisher Syndrome. He ordered blood tests and an MRI of my head. Within the next two days, my symptoms had gotten progressively worse and I was now unable to swallow at all. My Dr had no choice but to hospitalize me at this point with a suspected case of Myasthenia Gravis. : A catheter was inserted and I began Plasmapheresis treatments. Additionally, I was given doses of

29. Orthoguide.com Miller Fisher Syndrome Search results for miller fisher syndrome . NO MATCHES FOUNDPlease select a differentkeyword or category OR Search AltaVista for 'miller fisher syndrome'. http://www.orthoguide.com/ortho/Miller_Fisher_Syndrome.php3

Search results for "Miller Fisher Syndrome" NO MATCHES FOUND-Please select a different keyword or category OR Search AltaVista for 'Miller Fisher Syndrome' Global Search Add Url Free Medline ... Search Enter Keywords to Search and Your Choice of Search Arguments Or And Match entire phrase Orthoguide.com

30. Miller Fisher Syndrome miller fisher syndrome Medline NLM definition A variant of the GUILLAINBARRESYNDROME characterized by the acute onset of oculomotor http://www.ion.ucl.ac.uk/library/patient/miller.htm

Miller Fisher Syndrome Medline NLM definition: A variant of the GUILLAIN-BARRE SYNDROME characterized by the acute onset of oculomotor dysfunction, ataxia, and loss of deep tendon reflexes with relative sparing of strength in the extremities and trunk. The ataxia is produced by peripheral sensory nerve dysfunction and not by cerebellar injury. Facial weakness and sensory loss may also occur. The process is mediated by autoantibodies directed against a component of myelin found in peripheral nerves. (Adams et al., Principles of Neurology, 6th ed, p1313; Neurology 1987 Sep;37(9):1493-8) PubMed Medline search on Miller-Fischer Syndrome Support Groups Guillian Barre Syndrome Support Group of the UK LCC Offices, Eastgate, Sleaford, Lincolnshire, NG34 7EB Tel/fax: +44 (0)1529 304615 E-mail: admin@gbs.org.uk The objectives of the GBS Support Group are:"to provide emotional support to patients, their families and friends; to provide, when possible, personal visits by former patients to those currently in hospitals and rehabilitation centres and to those recovering; to supply a comprehensive short guide for patients, relatives and friends, and other literature, so that patients and their families can learn what to expect during the illness; to educate the public and medical community about the Support Group and maintain their awareness of the illness; to foster research into the cause, treatment and other aspects of the illness; to encourage special interest groups, eg CIDP, GBS in pregnancy, and GBS in children." Excellent website, very up-to-date with links to chat forums

31. Searchalot Directory For Miller Fisher Syndrome Related Web Sites. WorldMedicus A description of miller fishersyndrome along with reviews, articles and images. NINDS Miller http://www.searchalot.com/Top/Health/ConditionsandDiseases/NeurologicalDisorders

Home Search News Email Greetings Weather ... Global All the Internet About AltaVista AOL Search Ask Jeeves BBC Search BBC News Business Dictionary Discovery Health Dogpile CheckDomain CNN Corbis eBay Education World Employment Encyclopedia Encarta Excite Fast Search FindLaw FirstGov Google Google Groups Infomine iWon Librarians Index Looksmart Lycos Metacrawler Microsoft Northern Light Open Directory SearchEdu SearchGov Shareware Teoma Thesaurus Thunderstone WayBackMachine Webshots WiseNut Yahoo! Yahoo! Auctions Yahoo! News Yahooligans Zeal Sponsored Links Top Health Conditions and Diseases Neurological Disorders ... Brain Diseases : Miller Fisher Syndrome Related Web Sites WorldMedicus - A description of miller fisher syndrome along with reviews, articles and images. NINDS: Miller Fisher Syndrome - Information sheet compiled by the National Institute of Neurological Disorders and Stroke. Pediatric Database - Offers a definition of Miller-Fisher syndrome followed by the epidemiology, clinical features and management. Related Categories Health: Conditions and Diseases: Neurological Disorders: Demyelinating Diseases: Guillain-Barre Syndrome Health: Conditions and Diseases: Neurological Disorders: Movement Disorders Health: Conditions and Diseases: Neurological Disorders: Ocular Motility Disorders All the Internet About AltaVista AOL Search Ask Jeeves BBC Search BBC News Business Dictionary Discovery Health Dogpile CheckDomain CNN Corbis eBay Education World Employment Encyclopedia Encarta Excite Fast Search FindLaw FirstGov Google Google Groups Infomine iWon Librarians Index Looksmart

32. Miller Fisher Syndrome The Official Patient's Sourcebook on miller fisher syndrome (miller fisher syndrome).Revised and Updated for the Internet Age. miller fisher syndrome. http://www.icongrouponline.com/health/Miller_Fisher_Syndrome.html

ICON Health Publications Official Health Sourcebooks The Official Patient's Sourcebook on MILLER FISHER SYNDROME (Miller Fisher Syndrome) Revised and Updated for the Internet Age Paperback Book Order by phone: 800-843-2665 (within USA) 1-201-272-3651 (from outside USA) Electronic File * E-Book version sent via e-mail in 2 business days Electronic File * E-Book version sent via e-mail in 2 business days Pages Price $28.95(USD) ISBN Published Synopsis A comprehensive manual for anyone interested in self-directed research on Miller Fisher Syndrome. Fully referenced with ample Internet listings and glossary. Related Conditions/Synonyms Miller Fisher Syndrome Description Table of Contents Introduction Overview Organization Scope Moving Forward PART I: THE ESSENTIALS Chapter 1. The Essentials on Miller Fisher Syndrome: Guidelines Overview What Is Miller Fisher Syndrome? Is There Any Treatment? What Is the Prognosis? What Research Is Being Done? For More Information More Guideline Sources Vocabulary Builder Chapter 2. Seeking Guidance Overview Associations and Miller Fisher Syndrome Finding More Associations Finding Doctors Finding a Neurologist Selecting Your Doctor Working with Your Doctor Broader Health-Related Resources Vocabulary Builder PART II: ADDITIONAL RESOURCES AND ADVANCED MATERIAL Chapter 3. Studies on Miller Fisher Syndrome

33. Neuromuscular Diseases hug me? L Martin; miller fisher syndrome About miller fisher syndrome Guillain-Barré Syndrome Support G. (UK); A 42 year old http://www.mic.ki.se/Diseases/c10.668.html

search help staff Neuromuscular Diseases Patients and laypersons looking for guidance among the target sources of this collection of links are strongly advised to review the information retrieved with their professional health care provider. Motor Cortex illustration Earles et al. ] - Furman Univ. (US) EMG and Nerve Conductions Homepage JF Jabre The Neuromuscular Disease Information Center - REHABinfo Network/UC-Davis (US) Neuromuscular Diseases - MDA (US) About some Neuromuscular Diseases - Wake Forest Univ. Neuromuscular Disorders Information - Musc Dystrophy Group of (UK)+ N. Ireland Neuromuscular Disease Center , and one-page summaries of Differential Diagnoses of Neuromuscular Syndromes - School of Medicine/Washington Univ., St Louis (US) Diagnostic Criteria for Neuromuscular Disorders - European Neuromuscular C. Motor Neuron Disease Lower and Upper Motor Neuron Disorders - Merck Manual Motor Neuron Awareness S Killeen ] - (IE) Clinical Features of Motor Neuron Disease - Bethlehem Health Care, Inc. (AU) Motor Neuron Disease and Animal Models - WUSTL (US) About Primary Lateral Sclerosis - NINDS/NIH (US) Primary Lateral Sclerosis F Reyerse Primary Lateral Sclerosis (PLS) C Armon ] - eMedicine A question + answer re Primary Lateral Sclerosis by the experts at MDA A two pages Open letter to Dr. Prahl about his anti-PLS drug C-3036

34. GlycoWord / Glycopathology-A03 are present in sera from patients with immunemediated neuropathies such as Guillain-Barrésyndrome, miller fisher syndrome, IgM paraproteinemic neuropathy http://www.glycoforum.gr.jp/science/word/glycopathology/GD-A03E.html

Immune-mediated Neuropathy and Antibody against Glycoconjugates Figure legend A hypothesis for the role of anti-GQ1b IgG antibody in the pathogenesis of ophthalmoplegia. Anti-GQ1b IgG antibodies specifically bind to GQ1b antigen that is localized in the paranodal myelin of the cranial nerves innervating ocular muscles to cause ophthalmoplegia. The other nerves, which lack in the dense localization of GQ1b antigen in the paranodal myelin, are not involved. Antibodies that recognize the disialosyl residue of ganglioside GD1b are specifically associated with sensory ataxic neuropathy. Experimental sensory ataxic neuropathy is induced by sensitization of rabbits with GD1b, which is localized in the primary sensory neurons of dorsal root ganglia. Antibodies against several other glycoconjugates, including myelin-associated glycoprotein, GM1, GD1a, GalNAc-GD1a and galactocerebroside, are known to be present in patients with some immune-mediated neuropathies. Some of the antibodies may bind to the glycoconjugate(s) with unique localization and determine the distribution of the damage in the pathogenesis of autoimmune neuropathies. Susumu Kusunoki (Department of Neurology, School of Medicine, University of Tokyo)

35. GoGuides.Org Directory | Miller Fisher Syndrome Disabilities Disorders Conditions Diseases Nervous System Disorders AutoimmuneDiseases of the NS GuillainBarre Syndrome miller fisher syndrome http://www.goguides.org/index.php/viewCat/13435

Home Nervous System Disorders Autoimmune Diseases of the NS Guillain-Barre Syndrome ... URL Submission Status Sponsored Link: Sponsored Link: Advertise Here Miller Fisher Syndrome: Number of Matches: 3 NINDS: Miller Fisher Syndrome - The National Institute of Neurological Disorders and Stroke offers a definintion, the prognosis and treatment. URL: http://www.ninds.nih.gov/health_and_medical/disorders/miller_fisher.htm Pediatric Database: Miller-Fisher Syndrome - Offers a definition followed by the epidemiology, clinical features and management. URL: http://www.icondata.com/health/pedbase/files/MILLER-F.HTM Who Named It: Miller Fisher's Syndrome - Presents the synonyms, associated persons, and a description. URL: http://www.whonamedit.com/synd.cfm/1508.html < Previous Pages: Next >> Guide needed for this topic. Apply to edit this category Link To GoGuides Advertising ... GoGuide Profiles © 2003 GoGuides.Org. Registration Pending

36. Directory :: Look.com miller fisher syndrome (3) See Also. NINDS miller fisher syndrome Information sheetcompiled by the National Institute of Neurological Disorders and Stroke. http://www.look.com/searchroute/directorysearch.asp?p=594554

37. Campylobacter Symptoms And Risks As many as 40% of GuillainBarré syndrome cases in this country occur followingcampylobacteriosis.2 miller fisher syndrome is another, related neurological http://www.about-campylobacter.com/page3.htm

Prevention Detection Recent Outbreaks Legal Case ... Resources What are the symptoms of Campylobacter? Diarrhea is the most consistent and prominent manifestation of campylobacteriosis. It is often bloody.1 Typical symptoms of C. jejuni infection also include fever, nausea, vomiting, abdominal pain, headache, and muscle pain. A majority of cases are mild and do not require hospitalization and may be self-limited. However, C. jejuni infection can be severe and life threatening. Death is more common when other diseases (e.g., cancer, liver disease, and immuno-deficiency diseases) are present. Children under the age of five and young adults aged 15-29 are the age groups most frequently affected. The incubation period (the time between exposure on onset of the first symptom) is typically two to five days, but onset may occur in as few as 2 days or as long as 10 days after ingestion.1 The illness usually lasts no more than one week; however, severe cases may persist for up to three weeks. CDC. Guidelines for confirmation of foodborne-disease outbreaks. MMWR, 1996; 45:59.

38. Alt Om Guillain-Barré Syndrom: Links Til Yderligere Oplysninger På Internettet miller fisher syndrome. miller fisher syndrome UK støttegruppe Top. Multifokalmotoriske neuropati. Mere om MMN Norsk link. Udtømmende oplysninger. http://www.jsmarcussen.com/gbs/links-dk1.htm

Nyheder Nyhedsarkiv Forside English ... Kontakt Har du kommentarer til de links, du finder her, eller har du forslag til andre gode links, bedes du venligst email CIDP - Kronisk Inflammatory Demyelin. Polyneuropati MMN - Multifokal Motoriske Neuropati PE - Plasmaferese Immunsystemet Post-GBS (efter GBS) Vacciner Patienthistorier, flere Diverse Engelsksproget links - CIDP Mere om CIDP - Multifokal Motoriske Neuropati (MMN) Mere om MMN Top - Plasmaferese Hvad er aferese Bloddonorer i Dk: Generelt om aferese. Top - IVIg og Ig Statens Serum Institut om Immunglobulin Brug, virkningsmekanismer, erfaringer. - Mere om Immunsystemet Immun Defekt Forening Dansksproget forklaring på hvordan immunforsvaret virker, i al almindelighed. Top - Post-GBS (Efter GBS) - Vacciner Vaccinationsforum Dansksproget. Influenzavaccine og GBS

39. WebGuest - Open Directory : Health : Conditions And Diseases : Neurological Diso Sites NINDS miller fisher syndrome Information sheet compiledby the National Institute of Neurological Disorders and Stroke. http://directory.webguest.com/index.cgi/Health/Conditions_and_Diseases/Neurologi

Browse thru 1000's of books about health, mind and body: About Us Privacy Statement Acceptable Use Policy Legal Notices ... Contact Us the entire directory only in Top Health Conditions and Diseases Neurological Disorders ... Brain Diseases : Miller Fisher Syndrome See also: Health: Conditions and Diseases: Neurological Disorders: Demyelinating Diseases: Guillain-Barre Syndrome Health: Conditions and Diseases: Neurological Disorders: Movement Disorders Health: Conditions and Diseases: Neurological Disorders: Ocular Motility Disorders Sites: NINDS: Miller Fisher Syndrome - Information sheet compiled by the National Institute of Neurological Disorders and Stroke. Pediatric Database - Offers a definition of Miller-Fisher syndrome followed by the epidemiology, clinical features and management. WorldMedicus - A description of miller fisher syndrome along with reviews, articles and images. Last update: 13:21 PT, Monday, January 21, 2002 Help build the largest human-edited directory on the web. Submit a Site Open Directory Project Become an Editor

40. Nature Publishing Group jejuni is the most frequent cause of bacterial diarrhea, which leads to the Guillain–Barrésyndrome (GBS) or the miller fisher syndrome (MFS) in 1 in every http://www.nature.com/cgi-taf/DynaPage.taf?file=/nm/journal/v7/n7/full/nm0701_75

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