Miller–Fisher syndrome complicated by Bickerstaff brainstem encephalitis

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Miller–Fisher syndrome complicated by Bickerstaff brainstem encephalitis

RATIONALE Bickerstaff brainstem encephalitis (BBE) and Miller-Fisher syndrome (MFS) might be a pedigree disease. Herein, we report a rare case that fits the diagnoses of both MFS and BBE. PATIENT CONCERNS A 48-year-old woman was hospitalized due to blurred vision and unsteady gait lasting for 9 days, and numbness of the limbs lasting for 6 days. Physical examination showed restricted eye move...

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Bickerstaff brainstem encephalitis and Fisher syndrome: anti-GQ1b antibody syndrome.

In the 1950s, Bickerstaff and Fisher independently described cases with a unique presentation of ophthalmoplegia and ataxia. The neurological features were typically preceded by an antecedent infection and the majority of patients made a spontaneous recovery. In the cases with Bickerstaff brainstem encephalitis, there was associated altered consciousness and in some, hyperreflexia, in support o...

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Guillain-Barré syndrome, Fisher syndrome and Bickerstaff brainstem encephalitis: Understanding the pathogenesis

Guillain-Barré syndrome (GBS), Fisher syndrome (FS) and Bickerstaff brainstem encephalitis represent a spectrum of acute post-infectious immune-mediated diseases. GBS can present as acute infl ammatory demyelinating neuropathy or acute motor axonal neuropathy (AMAN). The epidemiological association of Campylobacter jejuni infection and antiganglioside antibodies with AMAN and FS is well establi...

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Teaching NeuroImages: Extensive vasogenic edema in Bickerstaff brainstem encephalitis.

Ten days after respiratory infection, a 32-year-old woman presented with headaches, ataxia, and diplopia without encephalopathy. Brain MRI revealed extensive white matter, brainstem, and cerebellar vasogenic edema, without gadolinium enhancement, partially regressive during follow-up (figure, A). CSF revealed transient elevated protein level (1.01 g/L) and hypercellularity (123 neutrophils/mm)....

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Recurrent Diplopia in a Pediatric Patient with Bickerstaff Brainstem Encephalitis

Introduction. Acute complete external ophthalmoplegia is a rare finding in clinical practice that is associated with diseases affecting the neuromuscular junction, the oculomotor nerves, or the brainstem. Ophthalmoplegia has been reported with acute ataxia in Miller Fisher syndrome (MFS) and Bickerstaff brainstem encephalitis (BBE). Up to 95% of these cases are associated with anti-GQ1b antibod...

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ژورنال

عنوان ژورنال: Medicine

سال: 2018

ISSN: 0025-7974

DOI: 10.1097/md.0000000000009824