{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T17:57:46Z","timestamp":1764784666589,"version":"3.41.2"},"reference-count":0,"publisher":"SMC Media","issue":"Vol 7 No 2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>A 55 years-old Caucasian male presented initially in the emergency room reporting myalgia, chills and fever. Physical exam and laboratory tests were unremarkable and he was discharged with symptomatic care. He returned to our ER two weeks later reporting dizziness, loss of balance, blurred vision, mild dysarthria and bilateral hand paresthesia. On examination he presented complete bilateral ophthalmoplegia, mild dysarthria, left finger-to-nose dysmetria, ataxia, areflexia and bilateral hand hypoesthesia without fever. Blood tests and head computed tomography were normal. The patient was admitted to the Internal Medicine department. On second day inwards the patient presented dysphagia. Head magnetic resonance angiogram showed no signs of ischemia or vascular disease and a lumbar puncture was performed but no pleocytosis, albumin-cytological dissociation or hypoglycorrhachia was present. Despite the normal results we suspected of a Guillain\u2013Barr\u00e9 syndrome variant, and started treatment with intravenous immunoglobulin (IVIG) in a dose of 400mg per kilogram and continued for five days with immediate neurological improvement. We present a rare\u00a0overlapping\u00a0case of\u00a0Miller Fisher\u00a0syndrome and Pharyngeal-Cervical-Brachial variant of Guillain\u2013Barr\u00e9 syndrome.<\/jats:p>","DOI":"10.12890\/2020_001387","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T13:52:37Z","timestamp":1621950757000},"source":"Crossref","is-referenced-by-count":2,"title":["An Overlapping Case of Miller Fisher Syndrome and the Pharyngeal-Cervical-Brachial Variant of Guillain-Barr\u00e9 Syndrome"],"prefix":"10.12890","author":[{"family":"H\u00e9lio Martins","sequence":"first","affiliation":[{"name":"Hospital da Senhora da Oliveira, Guimar\u00e3es, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Joana Mendon\u00e7a","sequence":"additional","affiliation":[{"name":"Hospital da Senhora da Oliveira, Guimar\u00e3es, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"David Paiva","sequence":"additional","affiliation":[{"name":"Hospital da Senhora da Oliveira, Guimar\u00e3es, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Carlos Fernandes","sequence":"additional","affiliation":[{"name":"Hospital da Senhora da Oliveira, Guimar\u00e3es, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Jorge Cotter","sequence":"additional","affiliation":[{"name":"Hospital da Senhora da Oliveira, Guimar\u00e3es, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2020,1,27]]},"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"deposited":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T13:55:13Z","timestamp":1621950913000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/1387"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,27]]},"references-count":0,"journal-issue":{"issue":"Vol 7 No 2","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.12890\/2020_001387","relation":{"has-manifestation":[{"id-type":"other","id":"1-55-1387-g1928","asserted-by":"subject"},{"id-type":"other","id":"1-55-1387-g1929","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-55","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2020,1,27]]},"article-number":"12"}}