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Miller Fisher syndrome

MedGen UID:
95994
•Concept ID:
C0393799
•
Disease or Syndrome
Synonyms: Fisher Syndrome; Guillain Barre Syndrome, Miller Fisher Variant; Guillain-Barre Syndrome, Miller Fisher Variant; Miller Fisher Syndrome; Miller Fisher Variant of Guillain Barre Syndrome; Miller-Fisher Syndrome; Ophthalmoplegia, Ataxia and Areflexia Syndrome; Syndrome, Fisher; Syndrome, Miller Fisher; Syndrome, Miller-Fisher
SNOMED CT: Fisher syndrome (1767005); Fisher's syndrome (1767005); Ophthalmoplegia, ataxia, areflexia syndrome (1767005); Miller-Fisher variant of Guillain-Barre syndrome (1767005); Miller-Fisher syndrome (1767005)
Modes of inheritance:
Non-Mendelian inheritance
MedGen UID:
109109
•Concept ID:
C0600599
•
Genetic Function
Source: Orphanet
A mode of inheritance that depends on genetic determinants in more than one gene.
Not genetically inherited
MedGen UID:
988794
•Concept ID:
CN307044
•
Finding
Source: Orphanet
clinical entity without genetic inheritance.
See: This record
Non-Mendelian inheritance (Orphanet)
Not genetically inherited (Orphanet)
 
Monarch Initiative: MONDO:0005851
Orphanet: ORPHA98919

Definition

Miller-Fisher syndrome (MFS) is a rare cranial nerve variant of Guillain-Barré syndrome (GBS; see this term). [from ORDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMiller Fisher syndrome
Follow this link to review classifications for Miller Fisher syndrome in Orphanet.

Professional guidelines

PubMed

European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain-Barré syndrome.
van Doorn PA, Van den Bergh PYK, Hadden RDM, Avau B, Vankrunkelsven P, Attarian S, Blomkwist-Markens PH, Cornblath DR, Goedee HS, Harbo T, Jacobs BC, Kusunoki S, Lehmann HC, Lewis RA, Lunn MP, Nobile-Orazio E, Querol L, Rajabally YA, Umapathi T, Topaloglu HA, Willison HJ
Eur J Neurol 2023 Dec;30(12):3646-3674. Epub 2023 Oct 10 doi: 10.1111/ene.16073. PMID: 37814552
Foodborne Botulism: Clinical Diagnosis and Medical Treatment.
Lonati D, Schicchi A, Crevani M, Buscaglia E, Scaravaggi G, Maida F, Cirronis M, Petrolini VM, Locatelli CA
Toxins (Basel) 2020 Aug 7;12(8) doi: 10.3390/toxins12080509. PMID: 32784744Free PMC Article
Diagnosis, treatment and prognosis of Guillain-Barré syndrome (GBS).
van Doorn PA
Presse Med 2013 Jun;42(6 Pt 2):e193-201. Epub 2013 Apr 28 doi: 10.1016/j.lpm.2013.02.328. PMID: 23628447

Recent clinical studies

Etiology

European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain-Barré syndrome.
van Doorn PA, Van den Bergh PYK, Hadden RDM, Avau B, Vankrunkelsven P, Attarian S, Blomkwist-Markens PH, Cornblath DR, Goedee HS, Harbo T, Jacobs BC, Kusunoki S, Lehmann HC, Lewis RA, Lunn MP, Nobile-Orazio E, Querol L, Rajabally YA, Umapathi T, Topaloglu HA, Willison HJ
Eur J Neurol 2023 Dec;30(12):3646-3674. Epub 2023 Oct 10 doi: 10.1111/ene.16073. PMID: 37814552
European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain-Barré syndrome.
van Doorn PA, Van den Bergh PYK, Hadden RDM, Avau B, Vankrunkelsven P, Attarian S, Blomkwist-Markens PH, Cornblath DR, Goedee HS, Harbo T, Jacobs BC, Kusunoki S, Lehmann HC, Lewis RA, Lunn MP, Nobile-Orazio E, Querol L, Rajabally YA, Umapathi T, Topaloglu HA, Willison HJ
J Peripher Nerv Syst 2023 Dec;28(4):535-563. Epub 2023 Oct 10 doi: 10.1111/jns.12594. PMID: 37814551
Updated consensus statement: Intravenous immunoglobulin in the treatment of neuromuscular disorders report of the AANEM ad hoc committee.
Tavee J, Brannagan TH 3rd, Lenihan MW, Muppidi S, Kellermeyer L, D Donofrio P; AANEM
Muscle Nerve 2023 Oct;68(4):356-374. Epub 2023 Jul 11 doi: 10.1002/mus.27922. PMID: 37432872
Guillain-Barré syndrome mimics.
Tham SL, Prasad K, Umapathi T
Brain Behav 2018 May;8(5):e00960. Epub 2018 Apr 10 doi: 10.1002/brb3.960. PMID: 29761013Free PMC Article
Guillain-Barré and Miller Fisher syndromes--new diagnostic classification.
Wakerley BR, Uncini A, Yuki N; GBS Classification Group; GBS Classification Group
Nat Rev Neurol 2014 Sep;10(9):537-44. Epub 2014 Jul 29 doi: 10.1038/nrneurol.2014.138. PMID: 25072194

Diagnosis

European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain-Barré syndrome.
van Doorn PA, Van den Bergh PYK, Hadden RDM, Avau B, Vankrunkelsven P, Attarian S, Blomkwist-Markens PH, Cornblath DR, Goedee HS, Harbo T, Jacobs BC, Kusunoki S, Lehmann HC, Lewis RA, Lunn MP, Nobile-Orazio E, Querol L, Rajabally YA, Umapathi T, Topaloglu HA, Willison HJ
Eur J Neurol 2023 Dec;30(12):3646-3674. Epub 2023 Oct 10 doi: 10.1111/ene.16073. PMID: 37814552
Immune-Mediated Neuropathies.
Gwathmey KG, Smith AG
Neurol Clin 2020 Aug;38(3):711-735. Epub 2020 Jun 11 doi: 10.1016/j.ncl.2020.03.008. PMID: 32703478
Update: the Miller Fisher variants of Guillain-Barré syndrome.
Al Othman B, Raabe J, Kini A, Lee AG
Curr Opin Ophthalmol 2019 Nov;30(6):462-466. doi: 10.1097/ICU.0000000000000611. PMID: 31567467
Guillain-Barré and Miller Fisher syndromes--new diagnostic classification.
Wakerley BR, Uncini A, Yuki N; GBS Classification Group; GBS Classification Group
Nat Rev Neurol 2014 Sep;10(9):537-44. Epub 2014 Jul 29 doi: 10.1038/nrneurol.2014.138. PMID: 25072194
Miller Fisher's syndrome.
Teener JW
Semin Neurol 2012 Nov;32(5):512-6. Epub 2013 May 15 doi: 10.1055/s-0033-1334470. PMID: 23677659

Therapy

European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain-Barré syndrome.
van Doorn PA, Van den Bergh PYK, Hadden RDM, Avau B, Vankrunkelsven P, Attarian S, Blomkwist-Markens PH, Cornblath DR, Goedee HS, Harbo T, Jacobs BC, Kusunoki S, Lehmann HC, Lewis RA, Lunn MP, Nobile-Orazio E, Querol L, Rajabally YA, Umapathi T, Topaloglu HA, Willison HJ
Eur J Neurol 2023 Dec;30(12):3646-3674. Epub 2023 Oct 10 doi: 10.1111/ene.16073. PMID: 37814552
European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain-Barré syndrome.
van Doorn PA, Van den Bergh PYK, Hadden RDM, Avau B, Vankrunkelsven P, Attarian S, Blomkwist-Markens PH, Cornblath DR, Goedee HS, Harbo T, Jacobs BC, Kusunoki S, Lehmann HC, Lewis RA, Lunn MP, Nobile-Orazio E, Querol L, Rajabally YA, Umapathi T, Topaloglu HA, Willison HJ
J Peripher Nerv Syst 2023 Dec;28(4):535-563. Epub 2023 Oct 10 doi: 10.1111/jns.12594. PMID: 37814551
Updated consensus statement: Intravenous immunoglobulin in the treatment of neuromuscular disorders report of the AANEM ad hoc committee.
Tavee J, Brannagan TH 3rd, Lenihan MW, Muppidi S, Kellermeyer L, D Donofrio P; AANEM
Muscle Nerve 2023 Oct;68(4):356-374. Epub 2023 Jul 11 doi: 10.1002/mus.27922. PMID: 37432872
Update: the Miller Fisher variants of Guillain-Barré syndrome.
Al Othman B, Raabe J, Kini A, Lee AG
Curr Opin Ophthalmol 2019 Nov;30(6):462-466. doi: 10.1097/ICU.0000000000000611. PMID: 31567467
Guillain-Barré Syndrome.
Wijdicks EF, Klein CJ
Mayo Clin Proc 2017 Mar;92(3):467-479. doi: 10.1016/j.mayocp.2016.12.002. PMID: 28259232

Prognosis

European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain-Barré syndrome.
van Doorn PA, Van den Bergh PYK, Hadden RDM, Avau B, Vankrunkelsven P, Attarian S, Blomkwist-Markens PH, Cornblath DR, Goedee HS, Harbo T, Jacobs BC, Kusunoki S, Lehmann HC, Lewis RA, Lunn MP, Nobile-Orazio E, Querol L, Rajabally YA, Umapathi T, Topaloglu HA, Willison HJ
Eur J Neurol 2023 Dec;30(12):3646-3674. Epub 2023 Oct 10 doi: 10.1111/ene.16073. PMID: 37814552
Immune-Mediated Neuropathies.
Gwathmey KG, Smith AG
Neurol Clin 2020 Aug;38(3):711-735. Epub 2020 Jun 11 doi: 10.1016/j.ncl.2020.03.008. PMID: 32703478
Guillain-Barré syndrome mimics.
Tham SL, Prasad K, Umapathi T
Brain Behav 2018 May;8(5):e00960. Epub 2018 Apr 10 doi: 10.1002/brb3.960. PMID: 29761013Free PMC Article
Diagnosis, treatment and prognosis of Guillain-Barré syndrome (GBS).
van Doorn PA
Presse Med 2013 Jun;42(6 Pt 2):e193-201. Epub 2013 Apr 28 doi: 10.1016/j.lpm.2013.02.328. PMID: 23628447
Miller Fisher's syndrome.
Teener JW
Semin Neurol 2012 Nov;32(5):512-6. Epub 2013 May 15 doi: 10.1055/s-0033-1334470. PMID: 23677659

Clinical prediction guides

European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain-Barré syndrome.
van Doorn PA, Van den Bergh PYK, Hadden RDM, Avau B, Vankrunkelsven P, Attarian S, Blomkwist-Markens PH, Cornblath DR, Goedee HS, Harbo T, Jacobs BC, Kusunoki S, Lehmann HC, Lewis RA, Lunn MP, Nobile-Orazio E, Querol L, Rajabally YA, Umapathi T, Topaloglu HA, Willison HJ
Eur J Neurol 2023 Dec;30(12):3646-3674. Epub 2023 Oct 10 doi: 10.1111/ene.16073. PMID: 37814552
European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain-Barré syndrome.
van Doorn PA, Van den Bergh PYK, Hadden RDM, Avau B, Vankrunkelsven P, Attarian S, Blomkwist-Markens PH, Cornblath DR, Goedee HS, Harbo T, Jacobs BC, Kusunoki S, Lehmann HC, Lewis RA, Lunn MP, Nobile-Orazio E, Querol L, Rajabally YA, Umapathi T, Topaloglu HA, Willison HJ
J Peripher Nerv Syst 2023 Dec;28(4):535-563. Epub 2023 Oct 10 doi: 10.1111/jns.12594. PMID: 37814551
Neurological symptoms, manifestations, and complications associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease 19 (COVID-19).
Harapan BN, Yoo HJ
J Neurol 2021 Sep;268(9):3059-3071. Epub 2021 Jan 23 doi: 10.1007/s00415-021-10406-y. PMID: 33486564Free PMC Article
Regional variation of Guillain-Barré syndrome.
Doets AY, Verboon C, van den Berg B, Harbo T, Cornblath DR, Willison HJ, Islam Z, Attarian S, Barroso FA, Bateman K, Benedetti L, van den Bergh P, Casasnovas C, Cavaletti G, Chavada G, Claeys KG, Dardiotis E, Davidson A, van Doorn PA, Feasby TE, Galassi G, Gorson KC, Hartung HP, Hsieh ST, Hughes RAC, Illa I, Islam B, Kusunoki S, Kuwabara S, Lehmann HC, Miller JAL, Mohammad QD, Monges S, Nobile Orazio E, Pardo J, Pereon Y, Rinaldi S, Querol L, Reddel SW, Reisin RC, Shahrizaila N, Sindrup SH, Waqar W, Jacobs BC; IGOS Consortium
Brain 2018 Oct 1;141(10):2866-2877. doi: 10.1093/brain/awy232. PMID: 30247567
Diagnosis, treatment and prognosis of Guillain-Barré syndrome (GBS).
van Doorn PA
Presse Med 2013 Jun;42(6 Pt 2):e193-201. Epub 2013 Apr 28 doi: 10.1016/j.lpm.2013.02.328. PMID: 23628447

Recent systematic reviews

Clinical characteristics and prognosis of temporary miller fisher syndrome following COVID-19 vaccination: a systematic review of case studies.
Alijanzadeh D, Soltani A, Afra F, Salmanpour F, Loghman AH, Samieefar N, Rezaei N
BMC Neurol 2023 Sep 21;23(1):332. doi: 10.1186/s12883-023-03375-4. PMID: 37735648Free PMC Article
Miller Fischer syndrome after COVID-19 infection and vaccine: a systematic review.
Neophytou P, Artemiadis A, Hadjigeorgiou GM, Zis P
Acta Neurol Belg 2023 Oct;123(5):1693-1701. Epub 2023 Jul 19 doi: 10.1007/s13760-023-02336-5. PMID: 37468803Free PMC Article
Miller Fisher syndrome associated with COVID-19: an up-to-date systematic review.
Li Z, Li X, Shen J, Chan MTV, Wu WKK
Environ Sci Pollut Res Int 2021 May;28(17):20939-20944. Epub 2021 Mar 6 doi: 10.1007/s11356-021-13233-w. PMID: 33677662Free PMC Article
Guillain-Barré syndrome spectrum associated with COVID-19: an up-to-date systematic review of 73 cases.
Abu-Rumeileh S, Abdelhak A, Foschi M, Tumani H, Otto M
J Neurol 2021 Apr;268(4):1133-1170. Epub 2020 Aug 25 doi: 10.1007/s00415-020-10124-x. PMID: 32840686Free PMC Article
Treatment for Fisher syndrome, Bickerstaff's brainstem encephalitis and related disorders.
Overell JR, Hsieh ST, Odaka M, Yuki N, Willison HJ
Cochrane Database Syst Rev 2007 Jan 24;2007(1):CD004761. doi: 10.1002/14651858.CD004761.pub2. PMID: 17253522Free PMC Article

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