In a patient with suspected Miller Fisher syndrome, would you wait until antibody testing results to start IVIG or treat empirically?

Topics: Neurology • Neuromuscular • Neuro-Ophthalmology

Is there is a particular pattern of extraocular motility restriction in Miller Fisher syndrome?

Answer from: at Academic Institution

Do not wait to treat. Syndromes on the Guillain-Barré spectrum, including Miller-Fisher, are clinical diagnoses. Miller-Fisher may not always have the triad of external ophthalmoplegia, ataxia, and areflexia at the time of presentation and may have overlap features with some other conditions ...

Comments

at Stony Brook University School of Medicine
Totally agree! Just like we would not typically wa...

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