| Miller Fisher syndrome mimicking Wernicke encephalopathy during pregnancy |
Jung Hwa Seo1 
, Mi-Ri Kang1
, Byeol-A Yoon2
, Ki-Hwan Ji1
, and Seong-il Oh1
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1Department of Neurology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
2Department of Neurology, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea |
| Corresponding Author:
Seong-il Oh ,Tel: +82-51-890-6130, Fax: +82-51-892-8811, Email: seongil.oh@gmail.com |
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Received June 12, 2018 Revised: October 13, 2018 Accepted October 23, 2018 |
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| ABSTRACT |
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Miller Fisher syndrome (MFS) is characterized by ataxia, areflexia, and ophthalmoparesis. Here we present a case of MFS mimicking Wernicke encephalopathy (WE) during pregnancy. A 31-year-old woman at 8 weeks of gestation presented with diplopia and ataxia after experiencing nausea and vomiting for several weeks. We initiated thiamine based on a suspicion of WE, which produced no clear effects. However, her symptoms began to improve following intravenous immunoglobulin treatment, and other findings finally lead to a diagnosis of MFS. Because ataxia and ophthalmoparesis can be misdiagnosed as WE during pregnancy, clinicians should consider MFS in the differential diagnosis. |
| Key words:
Miller Fisher syndrome; Pregnancy; Wernicke encephalopathy |
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