Successful management of a rare case of Miller Fisher variant of Guillain-Barre Syndrome in rural tertiary care

Guillain-Barre syndrome (GBS) is also known as acute idiopathic polyneuritis. It is a neuromuscular paralysis that occurs in all the age groups and has several variants. These include demyelinating polyneuropathy, acute axonal neuropathy, Bickerstaff brainstem encephalitis, pharyngo-cervical-brachial variant, Miller Fisher syndrome and polyneuritis cranialis. Miller Fisher syndrome (MFS) is a rare variant of GBS which is observed only about 1% to 5% of all cases. The incidence of the MFS is more common in males when compared to females by a ratio of 2: 1. The lower and upper age groups reported with MFS are 13 and 78 years respectively. Here we report the successful management of rare form of GB syndrome.