We report a case of Miller Fisher syndrome in an 80-year-old woman
who presented with a 3-day history of worsening dizziness associated
with vertigo. The patient had an episode of upper respiratory tract
infection 1 week earlier. She later developed diplopia in bilateral lateral
gaze and drooping of eyelids. She was treated conservatively without
the use of intravenous immunoglobulin or plasmapheresis. Her
symptoms improved gradually after 2 weeks of hospitalisation. At the
10-week follow-up, she had regained all the reflexes and full ocular
movements with no residual ptosis.
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