{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T05:48:53Z","timestamp":1763444933559,"version":"3.37.3"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>Miller-Fisher syndrome (MFS) is a rare condition characterized by the classical triad of ophthalmoplegia, ataxia, and areflexia (Fisher, 1956). It is considered a variant of Guillain-Barr\u00e9 syndrome (GBS) with which it may overlap, or it can occur in more limited forms. We report a case of a thirty-five-year-old male who presented with a six-day history of diplopia, following a recent chest infection. On examination, he was found to have bilateral sixth nerve palsy, bilateral fourth nerve palsy, bilateral areflexical mydriasis, ataxia and total absence of reflexes. After excluding other conditions, a diagnosis of Miller-Fisher syndrome was made. The patient was administered intravenous immunoglobulin and made an uneventful recovery.<\/jats:p>","DOI":"10.1155\/2010\/291840","type":"journal-article","created":{"date-parts":[[2010,9,1]],"date-time":"2010-09-01T14:34:51Z","timestamp":1283351691000},"page":"1-4","source":"Crossref","is-referenced-by-count":7,"title":["Acute Bilateral Ophthalmoparesis with Pupilary Areflexical Mydriasis in Miller-Fisher Syndrome Treated with Intravenous Immunoglobulin"],"prefix":"10.1155","volume":"2010","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8682-8957","authenticated-orcid":true,"given":"Theocharis","family":"Papanikolaou","sequence":"first","affiliation":[{"name":"Ophthalmology Department, Addenbrooke's Teaching Hospital, Hills Road, Cambridge CB2 0QQ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cath","family":"Gray","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Blackpool Fylde and Wyre Hospitals, Whinney Heys Road, Blackpool FY3 8NR, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard","family":"Boothman","sequence":"additional","affiliation":[{"name":"Neurology Department, Blackpool Fylde and Wyre Hospitals, Whinney Heys Road, Blackpool FY3 8NR, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald","family":"Naylor","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Blackpool Fylde and Wyre Hospitals, Whinney Heys Road, Blackpool FY3 8NR, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Mariatos","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Barnsley General Hospital, Gawber Road, Barnsley S75 2EP, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"issue":"2","key":"1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1056\/NEJM195607122550201","volume":"255","year":"1956","journal-title":"The New England Journal of Medicine"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5728(99)00213-1"},{"issue":"6","key":"3","first-page":"S150","volume":"176","year":"1997","journal-title":"The Journal of Infectious Diseases"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410310619"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1159\/000052111"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awg233"},{"issue":"7","key":"7","first-page":"433","volume":"83","year":"2008","journal-title":"Archivos de la Sociedad Espanola de Oftalmologia"},{"issue":"2","key":"8","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1097\/00007611-196602000-00010","volume":"59","year":"1966","journal-title":"Southern Medical Journal"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1157\/13058172"},{"issue":"3","key":"10","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1177\/088307380001500308","volume":"15","year":"2000","journal-title":"Journal of Child Neurology"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s10384-007-0429-2"},{"issue":"2","key":"12","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1159\/000008201","volume":"44","year":"2000","journal-title":"European Neurology"},{"journal-title":"Cochrane Database of Systematic Reviews","issue":"1","year":"2007","key":"13"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-0968.1999.00104.x"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.72.5.680"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000258673.31824.61"}],"container-title":["Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2010\/291840.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2010\/291840.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2010\/291840.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,19]],"date-time":"2017-06-19T09:28:11Z","timestamp":1497864491000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/joph\/2010\/291840\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":16,"alternative-id":["291840","291840"],"URL":"https:\/\/doi.org\/10.1155\/2010\/291840","relation":{},"ISSN":["2090-004X","2090-0058"],"issn-type":[{"type":"print","value":"2090-004X"},{"type":"electronic","value":"2090-0058"}],"subject":[],"published":{"date-parts":[[2010]]}}}