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Acute isolated ophthalmoplegia with anti-GQ1b antibodies
Authors:Andrea Rigamonti  Giuseppe Lauria  Marco Longoni  Lorenzo Stanzani  Elio Agostoni
Institution:(1) Department of Neurology, “Alessandro Manzoni” General Hospital, Via Dell’Eremo 9/11, 23900 Lecco, Italy;(2) Neuromuscular Unit, National Neurological Institute C. Besta, Via Celoria 11, 20133 Milan, Italy
Abstract:Ophthalmoplegia without ataxia, areflexia or both has been designated as atypical Miller Fisher syndrome (MFS) or acute ophthalmoplegia (AO). This entity, first reported by Chiba et al. is associated with anti-GQ1b IgG antibodies.We report a patient with isolated acute ophthalmoplegia with high titer of anti-GQ1b IgG antibody activity in the acute phase in whom treatment with intravenous immunoglobulin (IVIg) led to the clinical recovery and the decrease in antibody titer.
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