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Neurovirol."],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Guillain-Barr\u00e9 syndrome (GBS) is an ascending demyelinating polyneuropathy often associated with recent infection. Miller Fisher syndrome represents a variant with predominant facial and cranial nerve involvement, although Miller Fisher and Guillain-Barr\u00e9 overlap syndromes can occur. Guillain-Barr\u00e9 spectrum syndromes have been thought to be rare among solid organ transplant recipients. We describe an immunocompromised patient with a liver transplant who presented with ophthalmoplegia and bulbar deficits. His symptoms rapidly progressed to a state of descending paralysis involving the diaphragm; he then developed acute respiratory failure and eventually developed quadriparesis. Electromyography and a nerve conduction study demonstrated a severe sensorimotor axonal polyneuropathy consistent with Miller Fisher variant Guillain-Barr\u00e9 syndrome. Despite several negative nasopharyngeal swabs for COVID-19 polymerase chain reaction, a serology for SARS-CoV-2 IgG was positive. He was diagnosed with Miller Fisher-Guillain-Barr\u00e9 overlap syndrome with rapid recovery following treatment with plasma exchange. Although Guillain-Barr\u00e9 is a rare complication in solid organ transplant recipients, this case highlights the importance of rapid diagnosis and treatment of neurologic complications in transplant patients. Furthermore, it demonstrates a possible case of neurological complications from COVID-19 infection.<\/jats:p>","DOI":"10.1007\/s13365-021-01015-6","type":"journal-article","created":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T06:56:27Z","timestamp":1632725787000},"page":"797-801","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A unique case of Miller Fisher-Guillain-Barr\u00e9 overlap syndrome in a liver transplant recipient"],"prefix":"10.1007","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9012-7827","authenticated-orcid":false,"given":"Claudia","family":"Ramirez-Sanchez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8898-7388","authenticated-orcid":false,"given":"Rehan","family":"Syed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6766-531X","authenticated-orcid":false,"given":"Angela","family":"Meier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7498-524X","authenticated-orcid":false,"given":"Jamie Nicole","family":"LaBuzetta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6807-9478","authenticated-orcid":false,"given":"Diana J.","family":"Hylton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6429-6259","authenticated-orcid":false,"given":"Mahnaz","family":"Taremi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,9,22]]},"reference":[{"issue":"12","key":"1015_CR1","doi-asserted-by":"publisher","first-page":"e118","DOI":"10.1097\/OPX.0b013e31827717c1","volume":"89","author":"SA Anthony","year":"2012","unstructured":"Anthony SA, Thurtell MJ, Leigh RJ (2012) Miller Fisher syndrome mimicking ocular myasthenia gravis. 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