In a patient with suspected Miller Fisher syndrome, would you wait until antibody testing results to start IVIG or treat empirically?

Is there is a particular pattern of extraocular motility restriction in Miller Fisher syndrome?

Answer from: at Academic Institution

Do not wait to treat. Syndromes on the Guillain-Barré spectrum, including Miller-Fisher, are clinical diagnoses. Miller-Fisher may not always have the triad of external ophthalmoplegia, ataxia, and areflexia at the time of presentation and may have overlap features with some other conditions ...

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at Stony Brook University School of Medicine
Totally agree! Just like we would not typically wa...

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In a patient with suspected Miller Fisher syndrome, would you wait until antibody testing results to start IVIG or treat empirically?

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