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- W2114269832 abstract "Focal enlargement of the peripheral and spinal nerves, visualized using high-resolution ultrasound (HRUS), has been reported in early Guillain-Barré syndrome, but not in the Miller Fisher variant. We report the use of HRUS in 2 patients who presented with acute ataxic neuropathy, areflexia, and ophthalmoparesis.Ultrasound and/or nerve conduction studies (NCS) of peripheral nerves, the vagus, and spinal nerves C5/6 were performed at onset and 2 weeks after immunoglobulin therapy.Both patients fulfilled criteria for diagnosis of Miller Fisher syndrome (MFS). Laboratory findings revealed elevated ganglioside Q1b antibodies in both and an albuminolocytologic dissociation in 1 patient. In addition, 1 patient had NCS evidence for demyelinating neuropathy. However, ultrasound showed focal enlargement in the vagus, the spinal nerves, and/or in the peripheral nerves in both patients. After therapy, nerve enlargement decreased in parallel with clinical improvement.Spinal and/or peripheral nerve enlargement supports the diagnosis of MFS in early phases of the disease." @default.
- W2114269832 created "2016-06-24" @default.
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- W2114269832 date "2015-07-24" @default.
- W2114269832 modified "2023-10-16" @default.
- W2114269832 title "Nerve ultrasound in miller fisher variant of Guillain-Barré syndrome" @default.
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- W2114269832 doi "https://doi.org/10.1002/mus.24753" @default.
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