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Neurology International is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY licence, and they are hosted by MDPI on as a courtesy and upon agreement with PAGEPress.
Case Report

Miller Fisher Syndrome with Sinus Arrest

Course of Neurology, Department of Health, Faculty of Health Sciences,Tsukuba University of Technology, Japan
Department of Neurology, Tsukuba Memorial Hospital, Japan
Department of Public Health, School of Medicine, Dokkyo Medical University, Japan
Department of Cardiology, Tsukuba Memorial Hospital, Japan
Department of Neurology, Faculty of Medicine, Kindai University, Japan
Department of Neurology, Graduate School of Comprehensive Human Science, University of Tsukuba, Tsukuba, Japan
Author to whom correspondence should be addressed.
Neurol. Int. 2017, 9(3), 36-37;
Received: 14 July 2017 / Revised: 14 July 2017 / Accepted: 23 July 2017 / Published: 29 August 2017
Dysautonomia in Guillain-Barre syndrome (GBS) rarely causes serious cardiovascular complications, such as sinus arrest. Miller Fisher syndrome (MFS) is recognized as a variant of GBS. There have been few reports regarding the association between MFS and dysautonomia. We describe a case of a 68-year-old man with ophthalmoplegia, bulbar palsy, truncal ataxia, and areflexia. He was diagnosed with MFS because he exhibited the classical clinical triad and had elevated serum anti- GQ1b immunoglobulin G levels. A magnetic resonance imaging scan of his head was normal. His 24-hour Holter recording showed sinus arrest. He was treated with intravenous immunoglobulin, whereupon his symptoms gradually improved. This included the sinus arrest, which was considered a symptom of dysautonomia in MFS. Therefore, clinicians should be mindful of dysautonomia not only in GBS patients, but also in cases of MFS.
Keywords: Miller Fisher syndrome; Guillain- Barre syndrome; Dysautonomia; Sinus arrest Miller Fisher syndrome; Guillain- Barre syndrome; Dysautonomia; Sinus arrest
MDPI and ACS Style

Shiraiwa, N.; Umesawa, M.; Hoshino, S.; Enomoto, T.; Kusunoki, S.; Tamaoka, A.; Ohkoshi, N. Miller Fisher Syndrome with Sinus Arrest. Neurol. Int. 2017, 9, 36-37.

AMA Style

Shiraiwa N, Umesawa M, Hoshino S, Enomoto T, Kusunoki S, Tamaoka A, Ohkoshi N. Miller Fisher Syndrome with Sinus Arrest. Neurology International. 2017; 9(3):36-37.

Chicago/Turabian Style

Shiraiwa, Nobuko, Mitsumasa Umesawa, Sachiko Hoshino, Tsuyoshi Enomoto, Susumu Kusunoki, Akira Tamaoka, and Norio Ohkoshi. 2017. "Miller Fisher Syndrome with Sinus Arrest" Neurology International 9, no. 3: 36-37.

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