Miller-Fisher Syndrome in Association With <i>Enterovirus</i> Infection

Moustaki, Maria; Gika, Artemis; Fretzayas, Andrew; Voutsioti, Aikaterini; Yiallouros, Panayiotis K.; Karpathios, Themistocles

doi:10.1177/0883073811420602

Cited by 7 publications

(2 citation statements)

References 8 publications

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“…6,[8][9][10][11][12] When ataxia is the predominant clinical sign that is more often reported accompanied by ophthalmoplegia and areflexia, leading to the diagnosis of Miller-Fisher Syndrome (MFS). 13,14 In other cases, cranial nerve involvement and ataxia have been described as consistent with GBS syndrome. For example, Kuroki and Desai described a case of a 3-year-old girl with ataxia, facial droop, and dysarthric speech, 1 week after a gastrointestinal illness, who met the criteria for diagnosis of GBS with atypical features.…”

Section: Discussionmentioning

confidence: 97%

Subacute-Onset Afferent Ataxia in Childhood: A Case Report

Cecchin

Pellegrin

Parmeggiani

et al. 2019

Journal of Pediatric Neurology

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AbstractAcute or subacute ataxia in young children is rare and, in most cases, the diagnosis of the underlying etiology can be challenging. An extensive number of possible causes must be considered when approaching a child with ataxia. We report the case of a 21-month-old girl with subacute-onset rapidly progressive ataxia, occurring few days after a gastrointestinal infection, without clear reduction of muscle strength in the limbs or other neurological signs. The development of a mild hyporeflexia of the lower limbs, thereafter, led to the suspicion of a Guillain–Barré syndrome (GBS) that was confirmed by appropriate investigations. This case confirms that a subacute afferent ataxia can be the main clinical symptom of GBS in young children, in whom this disease is rare and the diagnosis more challenging. Attention must be paid to the presence of other neurological signs that can lead to the diagnosis.

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Section: Discussionmentioning

confidence: 97%

Subacute-Onset Afferent Ataxia in Childhood: A Case Report

Cecchin

Pellegrin

Parmeggiani

et al. 2019

Journal of Pediatric Neurology

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“…Multiple other infectious agents have been recognized as possible Miller Fisher syndrome antecedent infections namely Norovirus, 25 Pasteurella multocida , 26 E coli , 27 VacA of Helicobacter pylori , 28 Hepatitis E virus, 32 Cryptococcus, 33 HIV-1, 34 Orientia tsutsugamushi , 35 Enterovirus, 36 Listeria monocytogenes , 37 β-hemolytic streptococcus, 38 C burnetii , 40 and Cytomegalovirus. 41…”

Section: Miller Fisher Syndrome and Infectious Etiological Factorsmentioning

confidence: 99%

Miller Fisher Syndrome Triggered by Infections: A Review of the Literature and a Case Report

et al. 2021

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Aim: We reported a case of Miller Fisher syndrome following a breakthrough varicella zoster virus infection in an otherwise healthy 6-year-old male. The objective of this review was to summarize the infectious etiologic agents known to trigger Miller Fisher syndrome. Methods: Review of the literature on infections associated with Miller Fisher syndrome. Results: We identified 762 studies after duplicates were removed. Titles, abstracts, and full texts were screened. Finally, 37 studies were included in qualitative synthesis after citations and reference list were checked. The age range of cases reported was 0-78 years, and male sex was predominant in studies where these parameters were reported. The most common causative agent was Campylobacter jejuni followed by Haemophilus influenzae. Conclusions: Our review highlights the importance of recognizing the infections triggering Miller Fisher syndrome. We also present a unique case of Miller Fisher syndrome associated with breakthrough varicella zoster virus infection. Preventive policies may consider population immunization for certain causative agents.

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