Acute Ophthalmoplegia with Tonic Pupils

摘要

A 38-year-old female was diagnosed with atypical Miller Fisher syndrome (MFS) after she presented with bilateral ophthalmoplegia and bilateral tonic pupils without ataxia or areflexia following a flu-like infection. She had negative findings for a CSF examination, brain imaging and elec-trophysiological response; furthermore she was negative for serum ganglio-side antibodies. We reported this interesting case and discuss the atypical presentation.