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Association of cardiomyopathy caused by autonomic nervous system impairment with the Miller Fisher syndrome

¹ Cerebrovascular Division, Department of Internal Medicine, National Cardiovascular Centre, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan
² Cardiovascular Division, Department of Internal Medicine, National Cardiovascular Centre

Correspondence to:
Correspondence to:
Dr Hiroaki Naritomi;
hnaritom@hsp.ncvc.go.jp

Keywords: cardiomyopathy; Miller Fisher syndrome

The first 150 words of the full text of this article appear below.

We report a case of Miller Fisher syndrome associated with reversible left ventricular wall motion abnormalities similar to takotsubo shaped cardiomyopathy.

Case report
A 58 year old man was admitted to our hospital because of ataxia, ophthalmoplegia, and dysarthria. He had a 10 year history of hypertension. Four weeks before admission, he had common-cold-like symptoms. Ten days before admission, he developed difficulties with walking and speaking. The next day he was unable to walk or lift his eyelids. He was admitted to another hospital, where he was diagnosed as having a brain stem infarct. During admission, he developed tightness in the chest for three to four days which improved spontaneously. Because of exacerbation of his neurological symptoms, he was transferred to our hospital.

On initial physical examination, his blood pressure was 158/106 mm Hg and his heart rate was 108 beats/min and in regular rhythm. He was afebrile and had no respiratory . . . [Full text of this article]