Department of Ophthalmology, University of California, San Diego, San Diego, California, USA.
Ratner Children's Eye Center at the Shiley Eye Institute, University of California, San Diego, San Diego, California, USA.
Surv Ophthalmol. 2018 Nov-Dec;63(6):880-883. doi: 10.1016/j.survophthal.2018.06.004. Epub 2018 Jun 18.
A 51-year-old woman presented with acute diplopia and was found to have ptosis and complete bilateral external and internal ophthalmoplegia. She had normal reflexes and gait. Serological testing showed elevated levels of GQ1b ganglioside autoantibodies, making the diagnosis of Miller Fisher syndrome. This case illustrates an atypical presentation of the Miller Fisher variant of Guillain-Barre syndrome, which should be considered in all patients presenting with bilateral ophthalmoplegia.
一位 51 岁女性因急性复视就诊，检查发现有眼睑下垂和完全双侧外展和内收眼肌瘫痪。她的反射和步态正常。血清学检测显示 GQ1b 神经节苷脂自身抗体水平升高，确诊为米勒费舍尔综合征。本病例说明了吉兰-巴雷综合征米勒费舍尔变异型的一种非典型表现，所有出现双侧眼肌瘫痪的患者都应考虑到这种疾病。
