Emphasis on the Optimal Functional Recovery Through a Structured Inpatient Rehabilitation Program Along With a Home Exercise Regime in an Individual With Miller-Fisher Syndrome: A Case Report

Abstract

Guillain-Barre syndrome (GBS) is a rare inflammatory demyelinating polyradiculoneuropathy characterized by motor impairment, progressive, ascending, symmetrical flaccid limb paralysis, areflexia or hyporeflexia, and with or without cranial nerve involvement, which are the hallmark clinical indications of GBS, which can last over weeks to months. Miller-Fisher syndrome (MFS) is a post-infectious localized variant of GBS that includes ophthalmoplegia, ataxia, and areflexia, and is often associated with lower cranial and facial nerve involvement. In this case, a 22-year-old young man was taken to a hospital after 10 days with complaints of bilateral symmetrical upper extremity and lower extremity paralysis, with the legs being more afflicted than the arms. For the past six days, he had an episode of fever, slurred speech, bilateral eye drops, and swallowing difficulty. On examination, the patient was identified with MFS, a variant of GBS. On the first and last day of treatment, the patient's outcome measures were recorded on Manual Muscle Testing, Hughes (GBS disability score), and the Functional Independence Measure Scale. Treatment options have been shown to reduce challenges and improve patient outcomes and quality of life, all of which are important at this stage. This case study concluded with a rehabilitation program that helped the patient to enhance his strength, range of motion, functional mobility, postural control, balancing abilities, weight-bearing, and prevent secondary impairments.

How is Guillain-Barre syndrome associated with COVID-19 infection differentiated from hypokalemic periodic paralysis? a case report

“…GBS is distinguished by areflexia or hyporeflexia, progressive, ascending, symmetrical flaccid limb paralysis, and involvement of one or more cranial nerves. These symptoms can develop over a period of days to several weeks 10 . When compared to the aforementioned clinical manifestations, the patient in this study had clinical manifestations like generalized body weakness that affected both the lower and upper extremities (they were unable to move their legs or their hands as they normally would), tingling in the hands and feet, the inability to walk if unassisted, and difficulty swallowing.…”

Rehabilitation of a 51-Year-Old Patient With Miller Fisher Syndrome: A Case Report

“…Ataxia, ophthalmoplegia, paradoxical hyperreflexia, and alternate consciousness are all symptoms of Bickerstaff brainstem encephalitis. Fisher's syndrome has been associated with antibodies to ganglioside Q1b [2]. An upper respiratory or digestive tract disorder frequently comes before this severe polyneuropathy.…”

Effectiveness of Physiotherapy Intervention in Guillain Barre Syndrome: A Case Report

“…Guillain-Barre syndrome (GBS) is unusual inflammatory demyelinating polyradiculoneuropathy that results from loss of motor control. The most common forms responsible for 70-80% of cases are acute motor axonal neuropathy (AMAN) and acute inflammatory demyelinating neuropathy (AIDP), and others are Miller-Fisher syndrome (MFS) and acute axonal and sensory axonal neuropathy (AMSAN), which are the variants of GBS [1]. Numerous clinical, neurophysiological, and pathological studies have suggested that acute inflammatory neuropathy primarily affects large-diameter myelinated nerves.…”