Miller Fisher syndrome and Guillain-Barré syndrome: dual intervention rehabilitation of a complex patient case

Physiotherapy Theory and Practice
Jill E MayerJohn Mayer

Abstract

Purpose: Guillain-Barré syndrome (GBS) presents with acute peripheral neuropathy leading to ascending motor and sensory deficits. Miller Fisher syndrome (MFS), a GBS variant, is characterized by ophthalmoplegia, ataxia, and areflexia. In unusual cases, MFS and GBS overlap. The purpose of this case report is to illustrate the effects of an aquatic and land-based physiotherapy (PT) intervention on a patient with MFS-GBS.Case Description: A 57-year-old male physician was diagnosed with complex regional pain syndrome following a quadriceps muscle tear. Within 1 month, the patient experienced evolving motor, sensory, autonomic, and cranial nerve dysfunction and was diagnosed with MFS-GBS.Interventions: Five months post-onset, a 7-week intensive PT program was initiated including aquatic and land-based interventions.Outcomes: Following completion, functional improvements were demonstrated on the 6 Minute Walk Test, Timed-Up-and-Go, 10 Meter Walk Test and Short Form-36. However, 6 weeks after program completion, the patient had a recurrence.Conclusion: PT intervention demonstrated improvement in functional outcomes for a patient with a diagnosis of MFS-GBS. Complex patients lacking recovery within 6 months may benefit from continued r...Continue Reading

References

Apr 23, 1992·The New England Journal of Medicine·A H Ropper
May 1, 1988·Journal of Neurology, Neurosurgery, and Psychiatry·J B WinerC Osmond
Aug 1, 1997·Archives of Physical Medicine and Rehabilitation·J M Meythaler
Nov 14, 1997·American Journal of Physical Medicine & Rehabilitation·J M MeythalerW C Braswell
Dec 13, 1997·The Journal of Infectious Diseases·R A Hughes, J H Rees
Dec 13, 1997·The Journal of Infectious Diseases·F G van der MechéP A van Doorn
Aug 20, 2004·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Jo Tuckey, Richard Greenwood
Mar 25, 2005·Journal of Rehabilitation Medicine·Ulla-Britt FlansbjerJan Lexell
Feb 2, 2006·Movement Disorders : Official Journal of the Movement Disorder Society·Tanja Schmitz-HübschThomas Klockgether
Apr 15, 2006·Journal of Neurology, Neurosurgery, and Psychiatry·K KaidaS Kusunoki
May 16, 2006·Journal of the American Geriatrics Society·Subashan PereraStephanie A Studenski
Jun 14, 2006·Neurology·T Schmitz-HübschRoberto Fancellu
Jan 31, 2008·Journal of Speech, Language, and Hearing Research : JSLHR·Jeffrey A Kleim, Theresa A Jones
Oct 14, 2008·Lancet Neurology·Pieter A van DoornBart C Jacobs
Dec 18, 2008·Neuroepidemiology·Anita McGroganCorinne S de Vries
Jul 29, 2009·Physiotherapy·Ian DavidsonShirley Brissenden
Sep 23, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·Bruce E Becker
Aug 24, 2010·Disability and Rehabilitation·Yasser SalemEugene Spatz
Feb 16, 2011·Clinical Rehabilitation·Jon Marsden, Chris Harris
Jun 3, 2011·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Z ArányiD Bereczki
Dec 14, 2011·Expert Review of Neurotherapeutics·Masahiro MoriNobuhiro Yuki
Aug 2, 2012·Journal of Neurologic Physical Therapy : JNPT·Ada TangDebbie Rand
Jan 1, 1994·Journal of Back and Musculoskeletal Rehabilitation·D M Morris
Mar 4, 2014·Annals of Physical and Rehabilitation Medicine·A MarquerD Pérennou
Jul 30, 2014·Nature Reviews. Neurology·Benjamin R WakerleyUNKNOWN GBS Classification Group
Nov 15, 2014·Clinical Rehabilitation·Andresa R Marinho-BuzelliMary C Verrier
Apr 17, 2016·Journal of the Neurological Sciences·Junko IshiiNobuo Kohara
Dec 3, 2016·Physiotherapy Canada. Physiothérapie Canada·Nicholas Simatos ArsenaultAaron Sweeney
Jun 15, 2018·Journal of Neurologic Physical Therapy : JNPT·Jennifer L MooreJane E Sullivan
Jun 29, 2018·American Journal of Physical Medicine & Rehabilitation·A Williams Andrews, Addie Middleton
Jan 24, 2019·Case Reports in Surgery·Alana H SunbolMohammed Nassif
Apr 25, 2019·Disability and Rehabilitation·María J Díaz-ArribasGustavo Plaza-Manzano

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Mar 8, 2021·Environmental Science and Pollution Research International·Zheng LiWilliam Ka Kei Wu

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