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{
    "pk": 913,
    "title": "Miller-Fisher Syndrome: A Case Report and Review of the Literature",
    "subtitle": null,
    "abstract": "Introduction:\n Neurological complaints are a common presenting symptom seen by the emergency physician. However, the Miller-Fisher variant of Guillain-Barré syndrome is a rare cause of neurological complaints seen in the emergency department.\nCase Report:\n A 26-year-old male presented with dysphonia and bilateral hand and feet paresthesia after a recent diarrheal illness. Examination revealed the absence of tricep, brachioradialis, patellar and Achilles tendon reflexes bilaterally, and difficulty with phonation. Lumbar puncture revealed the presence of anti-GQ1b antibodies, and the patient was diagnosed with Miller-Fisher variant of Guillain-Barré.\nDiscussion:\n Miller-Fisher syndrome is an acute, autoimmune response that typically follows either an upper respiratory or diarrheal illness. Typically associated with dysfunction of cranial nerves three, four, and six, Miller-Fisher syndrome may present with facial paralysis, opthalmoplegia, arefexia, or ataxia. Lumbar puncture with the presence of anti-GQ1b antibodies is indicative. Treatment could include supportive respiratory care, intravenous immunoglobulin therapy, or plasmapheresis.\nConclusion:\n Miller-Fisher syndrome is a rare form of Guillain-Barré syndrome that the emergency provider should include in the differential when faced with a patient with cranial nerve dysfunction.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Miller-Fisher syndrome"
        },
        {
            "word": "Guillain-Barré syndrome"
        },
        {
            "word": "neurological emergencies"
        }
    ],
    "section": "ACOEP Case Reports (Invitation Only)",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/26t9f5mg",
    "frozenauthors": [
        {
            "first_name": "Justina",
            "middle_name": "",
            "last_name": "Truong",
            "name_suffix": "",
            "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona",
            "department": "None"
        },
        {
            "first_name": "Jeff",
            "middle_name": "",
            "last_name": "Conley",
            "name_suffix": "",
            "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona",
            "department": "None"
        },
        {
            "first_name": "John",
            "middle_name": "",
            "last_name": "Ashurst",
            "name_suffix": "",
            "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona",
            "department": "None"
        }
    ],
    "date_submitted": "2020-09-10T10:07:41+08:00",
    "date_accepted": "2020-09-10T10:07:41+08:00",
    "date_published": "2020-09-10T10:09:05+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/913/galley/661/download/"
        }
    ]
}