PMID: 9527160Apr 4, 1998Paper

Development of facial palsy during immunoadsorption plasmapheresis in Miller Fisher syndrome: a clinical report of two cases

Journal of Neurology, Neurosurgery, and Psychiatry
K ChidaY Itoyama

Abstract

Immunoadsorption plasmapheresis (IAP) using a tryptophan linked gel column has been shown to effectively remove serum IgG anti-GQ1b antibody which may contribute to the pathogenesis of Miller Fisher syndrome. Two patients are reported on with Miller Fisher syndrome, who developed bilateral facial palsy during IAP using a tryptophan column, while ophthalmoplegia, ataxia, and, areflexia were improving. In these patients, the titre of anti-GQ1b antibodies was reduced. The IAP using a tryptophan column has a beneficial effect on Miller Fisher syndrome but may not inhibit the development of facial palsy. The mechanism of such a dissociated effect of IAP on Miller Fisher syndrome is discussed.

Citations

Dec 3, 2009·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Lee A SnyderNeil R Miller
Aug 10, 2010·Journal of Medical Case Reports·Mary L StevensonIlya V Bogorad
Jan 21, 2012·Rinshō shinkeigaku = Clinical neurology·Koji ShinodaKimihiro Tanaka
Aug 19, 2015·Journal of the Neurological Sciences·Cheng-Yin TanNortina Shahrizaila
Oct 8, 2014·Muscle & Nerve·Muneto TatsumotoNobuhiro Yuki
May 23, 2015·Clinical Neurology and Neurosurgery·Jong Kuk KimJong Seok Bae
Nov 1, 2016·Rinshō shinkeigaku = Clinical neurology·Daisuke YamamotoShun Shimohama
Jul 2, 2020·Journal of Clinical Medicine·Alexander J DaviesSimon Rinaldi

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