Reply To: Problems with diagnosis

January 28, 2014 at 4:14 pm

Miller-Fisher predominately affects cranial nerves. Where were nerve conduction tests performed? If your legs are not weak, I wouldn’t expect an NCV to show anything wrong there. But I didn’t have MFS and Parry and Steinberg do not cover that point.

It seems to me that there is so much variation in these types of disorders that there is plenty of room for anomolous results. While classic GBS causes paralysis, generally beginning in the legs, there can be mild cases which do not reach full paralysis. And with MFS, balance is more an issue than weakness. Is MFS a form of GBS? It’s just a name. It doesn’t matter whether it is technically GBS or something else with aspects which are similar to GBS.