@article{oai:tsukuba.repo.nii.ac.jp:00045416, author = {榎本, 剛史 and 玉岡, 晃 and Shiraiwa, Nobuko and Umesawa, Mitsumasa and Hoshino, Sachiko and Enomoto, Tsuyoshi and Kusunoki, Susumu and Tamaoka, Akira and Ohkoshi, Norio}, issue = {3}, journal = {Neurology International}, month = {Aug}, note = {Dysautonomia in Guillain-Barre syndrome (GBS) rarely causes serious cardiovascular complications, such as sinus arrest. Miller Fisher syndrome (MFS) is recognized as a variant of GBS. There have been few reports regarding the association between MFS and dysautonomia. We describe a case of a 68-year-old man with ophthalmoplegia, bulbar palsy, truncal ataxia, and areflexia. He was diagnosed with MFS because he exhibited the classical clinical triad and had elevated serum anti- GQ1b immunoglobulin G levels. A magnetic resonance imaging scan of his head was normal. His 24-hour Holter recording showed sinus arrest. He was treated with intravenous immunoglobulin, whereupon his symptoms gradually improved. This included the sinus arrest, which was considered a symptom of dysautonomia in MFS. Therefore, clinicians should be mindful of dysautonomia not only in GBS patients, but also in cases of MFS.}, pages = {36--37}, title = {Miller Fisher syndrome with sinus arrest}, volume = {9}, year = {2017} }