書誌事項
- タイトル別名
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- A Case of Fisher Syndrome with Bilateral Horizontal Gaze Nystagmus in the Abducent Direction
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説明
<p> Miller Fisher syndrome (MFS) was first described in 1956 by Miller Fisher as an unusual variant of acute idiopathic polyneuritis. It is a variant of Guillain-Barre syndrome that is characterized by ophthalmoplegia, ataxia, and areflexia. High titers of serum IgG reactivity to GQ1b ganglioside are detected in patients with MFS. Here, we report the case of a patient who exhibited horizontal nystagmus on the lateral gaze position early in the onset and was diagnosed with MFS.</p><p></p><p> A 45-year-old woman was admitted to our hospital with rotatory vertigo 12 days after being diagnosed with an influenza A infection. Two days after hospitalization, she showed bilateral horizontal gaze nystagmus in the abducent direction. At the same time, a central nerve system disorder was suspected as a result of neurotological findings; she was diagnosed with MFS. The vertigo improved after the administration of intravenous immunoglobulin therapy and she was discharged 11 days after hospitalization. This is a rare case of MFS after influenza A infection. There may be an association between anti-GQ1b antibodies and peripheral or brainstem disorders.</p>
収録刊行物
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- Equilibrium Research
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Equilibrium Research 77 (1), 11-16, 2018
一般社団法人 日本めまい平衡医学会
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詳細情報 詳細情報について
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- CRID
- 1390282679925712000
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- NII論文ID
- 130006627495
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- ISSN
- 1882577X
- 03855716
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- 抄録ライセンスフラグ
- 使用不可