UNASSIGNED: Miller @entity4894 is a variant of @entity5011 characterized by the classic triad of @entity4610 , @entity2055 , and @entity4894 . Pupillary involvement is common in @entity1614 and has been reported in 35-42% of @entity1614 @entity1 . Although case reports have discussed @entity4610 as a presentation of @entity1614 , anisocoria and rapid fluctuation of pupillary diameter have not been reported in anti-GQ1b antibody positive individuals. Here we describe an individual who presented with @entity892 and was found to have progressive internal and external @entity4610 with frequent fluctuations in pupillary diameter and anisocoria. These exam findings are not commonly described even in atypical presentations of @entity1614 . The onset of symptoms was preceded by an @entity1729 but no @entity344 . Imaging and CSF studies were unremarkable; however serum levels of immunoglobulin G anti-GQ1b antibody and anti-GAD antibody were elevated confirming the diagnosis of @entity1614 . The @entity1 was treated with IVIG and intravenous @entity230 with mild resolution of external @entity4610 . He did not go on to develop more typical features of @entity1614 such as @entity2055 or @entity4894 . This demonstrates that isolated external and internal ophthalmoparesis with rapidly fluctuating pupillary diameter and associated anisocoria can be the sole manifestation of atypical @entity1614 .

XXXX with Anisocoria and Rapidly Fluctuating Pupillary Diameter.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity230 :: ('MESH:D013256', 'Chemical') :: ['steroids'] @entity4894 :: ('MESH:D019846', 'Disease') :: ['Fisher syndrome', 'areflexia'] @entity1614 :: ('MESH:D008382', 'Disease') :: ['MFS'] @entity344 :: ('MESH:D005767', 'Disease') :: ['gastrointestinal symptoms'] @entity4610 :: ('MESH:D009886', 'Disease') :: ['isolated ophthalmoplegia', 'ophthalmoplegia'] @entity5011 :: ('MESH:D020275', 'Disease') :: ['Guillain-Barre syndrome'] @entity1729 :: ('MESH:D012141', 'Disease') :: ['upper respiratory infection'] @entity892 :: ('MESH:D004172', 'Disease') :: ['diplopia'] @entity2055 :: ('MESH:D001259', 'Disease') :: ['ataxia']
@entity4894 :: (MESH:D019846,Disease) :: ['Atypical Miller Fisher Syndrome']
