Persistent miller fisher syndrome following COVID-19 infection: A case report

Guillain-Barré syndrome (GBS) is an inflammatory disease of the peripheral nervous system, with Miller-Fisher syndrome (MFS) being a rare variant. Recent studies have shown GBS and MFS to be a common side effect of COVID-19. This case report highlights the clinical presentation of a patient diagnose...

Full description

Saved in:
Bibliographic Details
Main Authors: Margaret Donat, Ivie Odiase, Aldo Alleva, Aditya A. Bissoonauth, Hamnah Khan, Sara Siddiqui
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_504_24
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850233500920184832
author Margaret Donat
Ivie Odiase
Aldo Alleva
Aditya A. Bissoonauth
Hamnah Khan
Sara Siddiqui
author_facet Margaret Donat
Ivie Odiase
Aldo Alleva
Aditya A. Bissoonauth
Hamnah Khan
Sara Siddiqui
author_sort Margaret Donat
collection DOAJ
description Guillain-Barré syndrome (GBS) is an inflammatory disease of the peripheral nervous system, with Miller-Fisher syndrome (MFS) being a rare variant. Recent studies have shown GBS and MFS to be a common side effect of COVID-19. This case report highlights the clinical presentation of a patient diagnosed with post-COVID-19 MFS, their subsequent treatment challenges, and the prognostic outcomes, contributing to the limited scientific literature of this uncommon affliction. A comprehensive case report of a 57-year-old man with significant medical history was conducted to determine the appropriate diagnosis based on the perceived symptoms following COVID-19. Per the Northwell health human research protection program, the publication of case reports involving up to three patients is not considered human-subject research and does not require IRB review and approval. Our patient was diagnosed with MFS, making him the longest-known adult with COVID-19-associated MFS without resolution of neurologic symptoms after intravenous immunoglobulin (IVIG) dose administration. Our case report posits the first-known patient to have a more severe form of MFS or resistance to IVIG dose. The current study also highlights the association between COVID-19 and MFS, warranting the need for more studies to understand the disease pathophysiology and new biomarkers for targeted treatments.
format Article
id doaj-art-bd5993a55b314f7dae88d282c9798ccf
institution OA Journals
issn 2249-4863
2278-7135
language English
publishDate 2025-05-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Family Medicine and Primary Care
spelling doaj-art-bd5993a55b314f7dae88d282c9798ccf2025-08-20T02:02:55ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352025-05-011452070207310.4103/jfmpc.jfmpc_504_24Persistent miller fisher syndrome following COVID-19 infection: A case reportMargaret DonatIvie OdiaseAldo AllevaAditya A. BissoonauthHamnah KhanSara SiddiquiGuillain-Barré syndrome (GBS) is an inflammatory disease of the peripheral nervous system, with Miller-Fisher syndrome (MFS) being a rare variant. Recent studies have shown GBS and MFS to be a common side effect of COVID-19. This case report highlights the clinical presentation of a patient diagnosed with post-COVID-19 MFS, their subsequent treatment challenges, and the prognostic outcomes, contributing to the limited scientific literature of this uncommon affliction. A comprehensive case report of a 57-year-old man with significant medical history was conducted to determine the appropriate diagnosis based on the perceived symptoms following COVID-19. Per the Northwell health human research protection program, the publication of case reports involving up to three patients is not considered human-subject research and does not require IRB review and approval. Our patient was diagnosed with MFS, making him the longest-known adult with COVID-19-associated MFS without resolution of neurologic symptoms after intravenous immunoglobulin (IVIG) dose administration. Our case report posits the first-known patient to have a more severe form of MFS or resistance to IVIG dose. The current study also highlights the association between COVID-19 and MFS, warranting the need for more studies to understand the disease pathophysiology and new biomarkers for targeted treatments.https://journals.lww.com/10.4103/jfmpc.jfmpc_504_24case-based learningpatient-centered carephysical examination skillsprimary care issuesquality of carescreening
spellingShingle Margaret Donat
Ivie Odiase
Aldo Alleva
Aditya A. Bissoonauth
Hamnah Khan
Sara Siddiqui
Persistent miller fisher syndrome following COVID-19 infection: A case report
Journal of Family Medicine and Primary Care
case-based learning
patient-centered care
physical examination skills
primary care issues
quality of care
screening
title Persistent miller fisher syndrome following COVID-19 infection: A case report
title_full Persistent miller fisher syndrome following COVID-19 infection: A case report
title_fullStr Persistent miller fisher syndrome following COVID-19 infection: A case report
title_full_unstemmed Persistent miller fisher syndrome following COVID-19 infection: A case report
title_short Persistent miller fisher syndrome following COVID-19 infection: A case report
title_sort persistent miller fisher syndrome following covid 19 infection a case report
topic case-based learning
patient-centered care
physical examination skills
primary care issues
quality of care
screening
url https://journals.lww.com/10.4103/jfmpc.jfmpc_504_24
work_keys_str_mv AT margaretdonat persistentmillerfishersyndromefollowingcovid19infectionacasereport
AT ivieodiase persistentmillerfishersyndromefollowingcovid19infectionacasereport
AT aldoalleva persistentmillerfishersyndromefollowingcovid19infectionacasereport
AT adityaabissoonauth persistentmillerfishersyndromefollowingcovid19infectionacasereport
AT hamnahkhan persistentmillerfishersyndromefollowingcovid19infectionacasereport
AT sarasiddiqui persistentmillerfishersyndromefollowingcovid19infectionacasereport