[P1-131] Miller-Fisher Syndrome Complicated with Bickerstaff Brainstem Encephalitis: A Case Report
Patients with either Miller-Fisher syndrome (MFS) or Bickerstaff brainstem encephalitis (BBE) can have an acute onset with prodromal symptoms of infection, present with ophthalmoplegia and ataxia, and show cerebrospinalfluid (CSF) albuminocytological dissociation , and increased GQ1b—IgG levels in both CSF and serum. The major difference between MFS and BBE is that MFS could induce concomitant hyporeflexia or areflexia, while BBE more often led to consciousness disturbances, hyperreflexia, and abnormal magnetic resonance imaging signals. Concurrent BBE is possible when a patient who present with clinical symptoms of MFS also shows positive Babinski signs. This study herein reported a case of combined MFS and BBE .