PT - JOURNAL ARTICLE AU - Inoue, Nobuhiro AU - Ichimura, Homare AU - Goto, Satoshi AU - Hashimoto, Yoichiro AU - Ushio, Yukitaka TI - MR Imaging Findings of Spinal Posterior Column Involvement in a Case of Miller Fisher Syndrome DP - 2004 Apr 01 TA - American Journal of Neuroradiology PG - 645--648 VI - 25 IP - 4 4099 - http://www.ajnr.org/content/25/4/645.short 4100 - http://www.ajnr.org/content/25/4/645.full SO - Am. J. Neuroradiol.2004 Apr 01; 25 AB - Summary: The site of lesions causing ataxia in Miller Fisher syndrome (MFS) remains in dispute. A 43-year-old man manifested rapidly progressive left-sided ptosis, bilateral abducens palsy, areflexia, and severe ataxia. Initial MR imaging showed confined lesions of the cauda equina with gadolinium enhancement. A diagnosis of MFS was made, and the patient underwent immunotherapy. His ophthalmoplegia disappeared, but other symptoms remained. Five months after onset, MR imaging disclosed lesions confined to the spinal posterior column, which were considered to result from involvement of posterior nerve roots of the cauda equina and to be responsible for his remaining severe ataxia.