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Characteristics of pupil palsy in miller-fisher syndrome: case reports and review of the literature.

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Title: Characteristics of pupil palsy in miller-fisher syndrome: case reports and review of the literature.
Authors: Lee, Jang Ho (AUTHOR), Jang, Yeonji (AUTHOR), Kim, Seong-Joon (AUTHOR), Jung, Jae Ho (AUTHOR)
Source: Neurological Sciences. Dec2021, Vol. 42 Issue 12, p5213-5218. 6p. 1 Color Photograph, 2 Charts.
Subjects: Paralysis, Pupil diseases, Diagnosis, Prognosis
Abstract: Pupil palsy has been a frequent finding in Miller Fisher syndrome (MFS), but its clinical characteristics have not been clearly defined. The basis for differential diagnosis with other diseases with pupil palsy has also remained vague. We report cases of four MFS patients with bilateral pupil palsy and specify pupil characteristics of light-near dissociation (LND), cholinergic super-sensitivity, vermiform movements, and prognosis. We conducted a literature review to compare with our cases and investigate common findings of pupil palsy in MFS patients. We suggest that the acute generalized pupil palsy without vermiform movements can serve as a key finding for the diagnosis of pupil palsy associated with MFS. However, the presence of LND and cholinergic super-sensitivity was not distinctive clinical findings in MFS patients who had pupil palsy and did not prove useful for differential diagnosis. The prognosis of pupil palsy in MFS patients was good in our 4 cases and the literature review. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Characteristics of pupil palsy in miller-fisher syndrome: case reports and review of the literature.
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  Data: <searchLink fieldCode="AR" term="%22Lee%2C+Jang+Ho%22">Lee, Jang Ho</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jang%2C+Yeonji%22">Jang, Yeonji</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim%2C+Seong-Joon%22">Kim, Seong-Joon</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jung%2C+Jae+Ho%22">Jung, Jae Ho</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Dec2021, Vol. 42 Issue 12, p5213-5218. 6p. 1 Color Photograph, 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Paralysis%22">Paralysis</searchLink><br /><searchLink fieldCode="DE" term="%22Pupil+diseases%22">Pupil diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Prognosis%22">Prognosis</searchLink>
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  Data: Pupil palsy has been a frequent finding in Miller Fisher syndrome (MFS), but its clinical characteristics have not been clearly defined. The basis for differential diagnosis with other diseases with pupil palsy has also remained vague. We report cases of four MFS patients with bilateral pupil palsy and specify pupil characteristics of light-near dissociation (LND), cholinergic super-sensitivity, vermiform movements, and prognosis. We conducted a literature review to compare with our cases and investigate common findings of pupil palsy in MFS patients. We suggest that the acute generalized pupil palsy without vermiform movements can serve as a key finding for the diagnosis of pupil palsy associated with MFS. However, the presence of LND and cholinergic super-sensitivity was not distinctive clinical findings in MFS patients who had pupil palsy and did not prove useful for differential diagnosis. The prognosis of pupil palsy in MFS patients was good in our 4 cases and the literature review. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Type: general
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              Text: Dec2021
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