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One-sided triangle: A case of double vision.

Abstract
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.
AuthorsJeffrey W Wang, Shira L Robbins, Mark L Moster
JournalSurvey of ophthalmology (Surv Ophthalmol) 2018 Nov - Dec Vol. 63 Issue 6 Pg. 880-883 ISSN: 1879-3304 [Electronic] United States
PMID29920248 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2018 Elsevier Inc. All rights reserved.
Topics
  • Acute Disease
  • Diplopia (diagnosis)
  • Female
  • Humans
  • Middle Aged
  • Miller Fisher Syndrome (diagnosis)
  • Ophthalmoplegia (diagnosis)

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