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Miller-Fisher综合征的临床特点(附3例报告)

靳哲 庄建华 杨月嫦 徐瑾 谢雪微 赵忠新

临床神经病学杂志2013,Vol.26Issue(4):286-287,2.
临床神经病学杂志2013,Vol.26Issue(4):286-287,2.

Miller-Fisher综合征的临床特点(附3例报告)

Clinical features of Miller-Fisher syndrome (report of 3 cases)

靳哲 1庄建华 1杨月嫦 1徐瑾 1谢雪微 1赵忠新1

作者信息

  • 1. 200003 第二军医大学附属上海长征医院神经内科
  • 折叠

摘要

Abstract

Objective To explore the clinical features of Miller-Fisher syndrome.Methods The clinical data of 3 patients with Miller-Fisher syndrome were analyzed retrospectively.Results There were one male and two female patients in this group,and the range of age was 43 to 56 years old.All the patients were acute onset,and they had antecedent respiratory symptoms.The common manifestations were double vision and unsteadiness; ptosis was in 2 cases,and distal numbness in 1 case.Bilateral ophthalmoplegia,decreased or absent tendon reflex and ataxia were in all the patients ; hypesthesia was in 2 cases,and autonomic dysfunction in 1 case.Examination of cerebrospinal fluid showed albuminocytologic dissociation in 2 cases.Electrophysiological studies showed abnormal H reflex in all the cases.Three cases had a good prognosis after being treated with high dosage of immunoglobulin.Conclusions The main manifestations of Miller-Fisher syndrome are ophthalmoplegia,decrease of tendon reflex and ataxia.And they may have sensory and autonomic symptoms.Treatment with high dosage of immunoglobulin may be effective.

关键词

Miller-Fisher综合征/临床特点

Key words

Miller-Fisher syndrome/ clinical feature

分类

医药卫生

引用本文复制引用

靳哲,庄建华,杨月嫦,徐瑾,谢雪微,赵忠新..Miller-Fisher综合征的临床特点(附3例报告)[J].临床神经病学杂志,2013,26(4):286-287,2.

临床神经病学杂志

OA北大核心CSTPCD

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