ArticleCureus2026
Miller Fisher Syndrome With Guillain-Barré Syndrome Overlap in a 20-Month-Old Girl: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
Miller Fisher syndrome (MFS) is an uncommon variant of Guillain-Barré syndrome (GBS) classically characterized by ophthalmoplegia, ataxia, and areflexia. Overlap forms with GBS are rare in early childhood and may be difficult to recognize, particularly in toddlers in whom neurological examination is limited. We report the case of a 20-month-old girl who presented with a seven-day history of progressive gait disturbance, repeated falls, refusal to walk, and convergent strabismus. Neurological examination showed severe axial ataxia, inability to sit or stand without support, generalized areflexia, symmetrical limb weakness, and right abducens nerve palsy. Brain and spinal magnetic resonance imaging (MRI) were normal. Cerebrospinal fluid (CSF) analysis showed mild albuminocytologic dissociation. Electroneuromyography demonstrated an acute motor-predominant polyradiculoneuropathy with preserved sensory responses. Anti-ganglioside antibody testing was positive for anti-ganglioside GQ1b (anti-GQ1b) and anti-ganglioside GT1a (anti-GT1a) immunoglobulin G (IgG) antibodies, supporting a diagnosis within the anti-GQ1b antibody syndrome spectrum.
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