Acute Ophthalmoplegia with Tonic Pupils

Abstract

A 38-year-old female was diagnosed with atypical Miller Fisher syndrome (MFS) after she presented with bilateral ophthalmoplegia and bilateral tonic pupils without ataxia or areflexia following a flu-like infection. She had negative findings for a CSF examination, brain imaging and electrophysiological response; furthermore she was negative for serum ganglioside antibodies. We reported this interesting case and discuss the atypical presentation.

KEYWORDS:

• Miller Fisher syndrome
• tonic pupil
• ganglioside antibody
• ophthalmoplegia