Concurrent Miller Fisher Syndrome Variant in Ossification of Posterior Longitudinal Ligament

JOURNAL TITLE: The Journal of Spinal Surgery

Author
1. Sumeet Pawar
2. Alexander Cahyadi
3. Arwinder Singh
4. Amrita Shenoy
5. PS Ramani
6. Sudhendoo Babhulkar
ISSN
2349-0462
DOI
10.5005/jp-journals-10039-1006
Volume
1
Issue
1
Publishing Year
2014
Pages
3
Author Affiliations
    1. Mumbai, India
    2. LTM Medical College and Hospital, Sion West, Mumbai, India
    3. Lilavati Hospital and Research Centre and Shushrusha Citizens Co-operative Hospital, Mumbai, India
    4. University of Mumbai, Maharashtra, India; WFNS Spine Committee and Neurospinal Surgeons Association, India
    5. Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India; World Federation of Neurosurgical Societies (WFNS) Spine Committee; Neuro and Spinal Surgeons’ Association of India; SPINE (Indian Edition); Journal of Spinal Surgery
    6. Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
    1. Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
    1. Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
    1. Department of Neurosurgery, Hasan Sadikin Hospital Padjadjaran University, Bandung, Indonesia
    1. Department of Neurosurgery, Hasan Sadikin Hospital Padjadjaran University, Bandung, Indonesia
    1. Department of Neurology, Lilavati Hospital and LKMM Trust Research Centre, Mumbai, Maharashtra, India
  • Article keywords

    Abstract

    Introduction

    Miller fisher syndrome (MFS) could be found in coincidence with ossification of posterior longitudinal ligament. High index of suspicion is required that lead to further investigation.

    Case report

    A 56-year-old male presented with four days history of loss of sensation on both lower and upper extremity. The complaint was felt more on the lower than upper extremity. The patient felt imbalance during walking. Muscle strengh of all extremity was normal, but sensory lost was found in all extremity. Deep tendon reflexes were absent in all extremity.

    Investigations

    Computed tomography (CT) scan and MRI showed canal stenosis due to of the posterior longitudinal ligament. Nerve conduction velocity suggested peripheral neuropathy on both upper and lower extremity. Antibody anti GQ1b was positive. Cerebrospinal fluid examination showed cytoalbuminemic dissociation.

    Treatment

    Patient was treated conservatively.

    Results

    Improvement was achieved in 5 days, and progressively return to normal condition.

    Conclusion

    Peripheral polineuropathy could be found in coincident with of the posterior longitudinal ligament and required specific management.

    How to cite this article

    Cahyadi A, Singh A, Ramani PS, Babhulkar S, Pawar S, Shenoy A. Concurrent Miller Fisher Syndrome Variant in Ossification of Posterior Longitudinal Ligament. J Spinal Surg 2014;1(1):32-34.

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