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Miller Fisher syndrome with acute angle-closure glaucoma as the first manifestation: A case report.

Abstract There were no reports of Miller Fisher syndrome (MFS) with acute angle-closure glaucoma as the first manifestation.
PMID
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Acute angle-closure glaucoma in a patient with miller fisher syndrome without pupillary dysfunction.

Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29390338
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 50
DP  - 2017 Dec
TI  - Miller Fisher syndrome with acute angle-closure glaucoma as the first
      manifestation: A case report.
PG  - e9201
LID - 10.1097/MD.0000000000009201 [doi]
AB  - RATIONALE: There were no reports of Miller Fisher syndrome (MFS) with acute
      angle-closure glaucoma as the first manifestation. PATIENT CONCERNS: A
      78-year-old female patient was admitted to our hospital with pain in her left
      eye, blurred vision along with nausea, and vomiting for 2 days. It was extremely 
      rare that ophthalmoplegia, loss of tendon reflexes, and ataxia, did not occur in 
      the early stages of MFS, and initial presentation was only dilated pupis and an
      increase in intraocular pressure. DIAGNOSES: The final diagnosis of the patient
      was MFS. INTERVENTIONS: Intravenous immunoglobulins were administered. OUTCOMES: 
      Ophthalmoplegia, walking instability, and ataxia gradually improved. At 3 months 
      follow-up, there was no neurological deficit, and the patient could completely
      self-care. LESSONS: This is the first report of MFS patient with acute angle
      closure glaucoma as the first manifestation. Consideration should be given to the
      possibility of incorporating autonomic nervous system dysfunction, or even MFS,
      in patients with acute angle-closure glaucoma in order to reduce missed diagnosis
      rate.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Han, Jingzhe
AU  - Han J
AD  - Department of Neurology, Harrison International Peace Hospital.
FAU - Ji, Ye
AU  - Ji Y
AD  - Department of Neurology, Harrison International Peace Hospital.
FAU - Cao, Duanhua
AU  - Cao D
AD  - Department of Neurology, Harrison International Peace Hospital.
FAU - Kang, Zhilei
AU  - Kang Z
AD  - Department of MRI, Harrison International Peace Hospital, Hengshui, Hebei, China.
FAU - Zhu, Jianguo
AU  - Zhu J
AD  - Department of Neurology, Harrison International Peace Hospital.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Immunoglobulins, Intravenous)
SB  - AIM
SB  - IM
MH  - Acute Disease
MH  - Aged
MH  - Diagnosis, Differential
MH  - Female
MH  - Glaucoma, Angle-Closure/*diagnosis/*drug therapy
MH  - Humans
MH  - Immunoglobulins, Intravenous/*therapeutic use
MH  - Miller Fisher Syndrome/*diagnosis/*drug therapy
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000009201 [doi]
AID - 00005792-201712150-00088 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(50):e9201. doi: 10.1097/MD.0000000000009201.