Ooi Say Ting, Ahmad Ameilia, Yaakub Azhany
Department of Ophthalmology and Visual Science, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, MYS.
Ophthalmology Clinic, Hospital Sultanah Nur Zahirah, Kuala Terengganu, MYS.
Cureus. 2022 Jun 22;14(6):e26192. doi: 10.7759/cureus.26192. eCollection 2022 Jun.
Miller Fisher syndrome (MFS) is an uncommon systemic autoimmune condition. Recurrent Miller Fisher syndrome is extremely rare. We want to highlight a rare case of recurrent Miller Fisher syndrome, which manifested as external and internal ophthalmoplegia, areflexia, and ataxia following an episode of upper respiratory tract infection (URTI). The patient developed a recurrent attack of Miller Fisher syndrome two months later with only internal and external ophthalmoplegia symptoms. Both episodes wholly resolved in a month without treatment. Miller Fisher syndrome can mimic various other neurological illnesses. Therefore, diagnosing this disease is often challenging. However, prompt diagnosis and management can be achieved with awareness of this rare illness.
米勒-费希尔综合征（MFS）是一种罕见的全身性自身免疫性疾病。复发性米勒-费希尔综合征极为罕见。我们想强调一例复发性米勒-费希尔综合征的罕见病例，该病例在上呼吸道感染（URTI）发作后表现为眼外肌和眼内肌麻痹、无反射和共济失调。患者在两个月后出现了米勒-费希尔综合征的复发，仅表现为眼外肌和眼内肌麻痹症状。两次发作均在未经治疗的情况下于一个月内完全缓解。米勒-费希尔综合征可模仿各种其他神经系统疾病。因此，诊断这种疾病往往具有挑战性。然而，通过对这种罕见疾病的认识，可以实现及时诊断和管理。
